Retzius-sparing robot-assisted radical prostatectomy versus open retropubic radical prostatectomy: a prospective comparative study with 19-month follow-up
| Autor: | Ayman Hagras, Ahmed Ghaith, Mohamed A. Elbendary, Adel Omar, Koon Ho Rha, Ahmed Elghiaty, Ibrahim Alowidah, Mohamed Jayed Alenzi, Tarek Gameel, Ali Abdel Raheem, Abdel Hamid El-Bahnasy, Young Deuk Choi, Won Sik Ham |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Biochemical recurrence medicine.medical_specialty Urology medicine.medical_treatment 030232 urology & nephrology Kaplan-Meier Estimate Perioperative Care 03 medical and health sciences Prostate cancer Postoperative Complications 0302 clinical medicine Robotic Surgical Procedures medicine Humans Prospective Studies Prospective cohort study Survival analysis Aged Prostatectomy Pain Postoperative Urinary continence business.industry Prostatic Neoplasms Perioperative Middle Aged medicine.disease Treatment Outcome Urinary Incontinence Nephrology 030220 oncology & carcinogenesis Neoplasm Recurrence Local Positive Surgical Margin business Follow-Up Studies |
| Zdroj: | Minerva Urologica e Nefrologica. 72 |
| ISSN: | 1827-1758 0393-2249 |
| DOI: | 10.23736/s0393-2249.20.03830-8 |
| Popis: | BACKGROUND The aim of the present study was to compare the surgical outcomes of retzius-sparing robot-assisted radical prostatectomy (RS-RARP) and open retropubic radical prostatectomy (ORP). METHODS We included patients with clinically localized prostate cancer who underwent RS-RARP or ORP and met our inclusion criteria. We compared the perioperative, oncological, and continence outcomes between both surgical approaches. Continence function was assessed using the validated International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form. Continence was defined as using 0-1 safety pad per day. Biochemical recurrence (BCR) was defined as two consecutive rises in serum PSA more than 0.2 ng/mL. Events of local recurrence, distant metastasis, and cancer death were reported and compared using Kaplan-Meier survival analysis. RESULTS Between 1 June 2013 and 1 October 1 2016, 184 men were enrolled, of whom 125 underwent RS-RARP and 59 underwent ORP. Baseline demographic and pathological characteristics were similar between both groups (P>0.05). Patients in RS-RARP group had significantly lower blood loss, fewer transfusion rates, lower VAS score, and shorter hospital stay than patients in ORP group (P |
| Databáze: | OpenAIRE |
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