Is previous experience in laparoscopic necessary to perform robotic radical prostatectomy? A comparative study with robotic and the classic open procedure in patients with prostate cancer
| Autor: | Felipe Lott, Luciano A. Favorito |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors RD1-811 medicine.medical_treatment Operative Time Urinary incontinence Prostate Neoplasms Statistics Nonparametric Body Mass Index Prostate cancer Robotic Surgical Procedures Reference Values Humans Medicine Robotic surgery In patient Aged Prostatectomy business.industry Penile Erection Prostatic Neoplasms Robotics Perioperative Length of Stay Middle Aged medicine.disease Surgery Sexual Dysfunction Physiological Urinary Incontinence Treatment Outcome Laparoscopic Prostatectomy Laparoscopy Prostate neoplasm medicine.symptom business |
| Zdroj: | Acta Cirurgica Brasileira, Vol 30, Iss 3, Pp 229-234 (2015) Acta Cirurgica Brasileira, Volume: 30, Issue: 3, Pages: 229-234, Published: MAR 2015 Acta Cirúrgica Brasileira v.30 n.3 2015 Acta Cirúrgica Brasileira Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) instacron:SBDPC |
| ISSN: | 1678-2674 0102-8650 |
| Popis: | PURPOSE:To assess comparative results of robot-assisted radical laparoscopic prostatectomy (RARP) performed by surgeons without any experience in laparoscopic prostatectomy and the open procedure performed by surgeons with large experience.METHODS:We analyzed 84 patients (50 subjected to robotic surgery) from June 2012 to September 2013. Data were prospectively collected in a customized database. Two surgeons carried out all the RARP cases. These two surgeons and six more performed the open cases. The perioperative outcomes between the two groups were analyzed with a minimum followup of 12 months.RESULTS:The corporal mass index (BMI) was higher in the open group (p=0.001). There was more operatve time, less hospitalization and blood loss, better trifecta and pentafecta and earlier continence (p=0.045) in the robotic group (p=0.001). There was no difference in positive surgical margins but with greater extraprostatic extension in the open group (p=0.002).CONCLUSIONS: Robot-assisted radical prostatectomy is a safe procedure even in the hands of surgeons with no previous experience. Besides this, better operative outcomes can be reached with this modern approach. |
| Databáze: | OpenAIRE |
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