The Effect of Evolving Strategies in the Surgical Management of Organ-Confined Prostate Cancer: Comparison of Data from 2005 to 2014 in a Multicenter Setting
| Autor: | Stefan Hinz, Jonas Busch, Tom Fischer, Ahmed Magheli, Margit Pohle, Hannes Cash, Carsten Kempkensteffen, Kurt Miller |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Surgical margin medicine.medical_specialty Databases Factual medicine.medical_treatment Operative Time 030232 urology & nephrology Urology 03 medical and health sciences Prostate cancer 0302 clinical medicine Robotic Surgical Procedures Germany medicine Humans Minimally Invasive Surgical Procedures Pharmacology (medical) Pelvic lymphadenectomy Gleason Pathological Robot-assisted RP Original Research Aged Neoplasm Staging Retrospective Studies Medicine(all) Prostatectomy business.industry Margins of Excision Prostatic Neoplasms General Medicine Perioperative Middle Aged medicine.disease Radical prostatectomy 030220 oncology & carcinogenesis Lymph Surgical techniques Neoplasm Grading Positive Surgical Margin business |
| Zdroj: | Advances in Therapy |
| ISSN: | 1865-8652 0741-238X |
| Popis: | Introduction The objective of this study was to evaluate changes of patient characteristics and surgical techniques in radical prostatectomy in Germany within the last decade. Methods Data from 44 German prostate cancer centers were included in the study. Patients’ characteristics (age, initial PSA value), surgical techniques (open vs. minimally invasive approaches), perioperative parameters (operating time, rate of nerve-sparing (NS) radical prostatectomies (RPs), hospitalization time, catheter indwelling time, surgical margin status, number of dissected lymph nodes (LN)), and pathological findings (tumor stage, Gleason score) were analyzed. Results Data from 11,675 patients who underwent RP between 2005 and 2014 were analyzed. The rate of open RP approaches decreased by 1.7% (p = 0.0164), the rate of minimally invasive approaches increased by 1.8% (p = 0.0164). Robot-assisted RPs (RARP) increased by 4.6% (p |
| Databáze: | OpenAIRE |
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