What factors affect the operative time of robot-assisted laparoscopic radical prostatectomy?
| Autor: | Sunao Shoji, Taro Higure, Masanori Hasegawa, Masahiro Nitta, Takato Uchida, Yoshiaki Kawamura, Nobuyuki Nakajima, Hakushi Kim, Masayoshi Kawakami, Akira Miyajima, Mayura Nakano |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Operative Time Logistic regression Da Vinci Surgical System 03 medical and health sciences Prostate cancer 0302 clinical medicine Robotic Surgical Procedures Internal medicine medicine Humans Prostatectomy business.industry Prostate Prostatic Neoplasms Robotics Odds ratio Hepatology medicine.disease Surgery 030220 oncology & carcinogenesis Laparoscopy 030211 gastroenterology & hepatology business Body mass index Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 35:4436-4443 |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | Robot-assisted radical prostatectomy (RARP) has gained prominence since the da Vinci surgical system was introduced in 2000. RARP has now become a standard procedure for treating cases with localized prostate cancer. However, no study has examined its surgical time by accurately measuring the pelvic visceral fat (PVF) volume. This study aimed to investigate the factors associated with prolonged console time and surgical difficulty by RARP surgeons. This study included 405 patients who underwent RARP between 2014 and 2019 at our institution. Given that the anatomical characteristics were considered to affect RARP, PVF and working space (WS) were estimated preoperatively by computed tomography using a 3D image analysis system. Univariate and multivariate logistic regression analyses were performed to identify the factors prolonging console time, such as body mass index (BMI), prostate volume, previous abdominal surgery, nerve-sparing procedure, PVF, and WS. We also investigated whether post-operative complications were associated with any of these factors. Larger PVF (p = 0.028, odds ratio (OR) 1.43), smaller WS (p |
| Databáze: | OpenAIRE |
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