An Open Radical Prostatectomy Approach That Mimics the Technique of Robot-assisted Prostatectomy: A Comparison of Perioperative Outcomes

被引:0
|
作者
Ozkaptan, Orkunt [1 ]
Balaban, Muhsin [2 ]
Sevinc, Cuneyd [3 ]
Karadeniz, Tahir [3 ]
机构
[1] Kartal Training & Res Hosp, Dept Urol, TR-34890 Istanbul, Turkey
[2] Biruni Univ, Med Sch, Dept Urol, TR-34010 Istanbul, Turkey
[3] Istinye Univ, Dept Urol, Med Fac, TR-34450 Istanbul, Turkey
关键词
Perioperative outcome; Prostate cancer; Surgical technique; Radical prostatectomy; RETROPUBIC PROSTATECTOMY; COMPLICATIONS;
D O I
暂无
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: To report on an ascending radical retropubic prostatectomy (RRP) technique and determine whether this technique has better perioperative, oncological and functional outcomes than the standard RRP technique applied in our clinic. Materials and Methods: The perioperative and functional outcomes of the 246 patients that underwent standard RRP (N = 150) or modified RRP (N = 96) were evaluated, retrospectively. In the modified RRP technique the dorsal vascular complex (DVC) was controlled at first. Thereafter, the bladder neck was incised at the prostate-vesical junction. After seminal vesicles and vasa were exposed, posterior dissection was continued until to the apex. Finally, the urethra was divided. Results: The mean volume of estimated blood loss (EBL) was significantly longer in the standard RRP group than in the modified RRP group (610 vs. 210 ml, respectively; P = .001). The mean operative time (OT) was significantly less in the modified RRP group (177 vs. 134 min, respectively; P = .003), as were the transfusion rate TR (P = .041). With regard to the rate of postoperative complications, a statistically significant difference was observed between the two groups (P = .014). Continence rates after 3 and 12 months postoperatively were 98.95% and 98.95 % in the modified RRP group, and 97.33% and 98.66% in the standard RRP group, respectively (P = .83). Conclusion: We observed that the EBL, TR and OT were significantly lower when we applied the modified RRP technique to patients. This modified technique might be applicable for institutions as an alternative procedure for the standard RRP technique.
引用
收藏
页码:168 / 173
页数:6
相关论文
共 50 条
  • [1] Perioperative outcomes of robot-assisted radical prostatectomy vs. open radical prostatectomy
    Trinh, Q. D.
    Sammon, J.
    Ghani, K. R.
    Jeong, W.
    Jhaveri, J.
    Sukumar, S.
    Dabaja, A.
    Friedman, A.
    Ehlert, M.
    Muhletaler, F.
    Agarwal, P. K.
    Rogers, C. G.
    Peabody, J. O.
    Menon, M.
    [J]. EUROPEAN UROLOGY SUPPLEMENTS, 2012, 11 (01) : E679 - U450
  • [2] PERIOPERATIVE OUTCOMES OF ROBOT-ASSISTED RADICAL PROSTATECTOMY VS. OPEN RADICAL PROSTATECTOMY
    Quoc-Dien Trinh
    Sun, Maxine
    Sammon, Jesse D.
    Ghani, Khurshid R.
    Ravi, Praful
    Jeong, Wooju
    Shariat, Shahrokh F.
    Bianchi, Marco
    Schmitges, Jan
    Jhaveri, Jay
    Hansen, Jens
    Sukumar, Shyam
    Dabaja, Ali
    Muhletaler, Fred
    Agarwal, Piyush K.
    Rogers, Craig G.
    Peabody, James O.
    Menon, Mani
    Karakiewicz, Pierre I.
    [J]. JOURNAL OF UROLOGY, 2012, 187 (04): : E542 - E543
  • [3] Robot-Assisted Radical Prostatectomy by Lateral Approach: Technique, Reproducibility and Outcomes
    Socarras, Moises Rodriguez
    Rivas, Juan Gomez
    Elbers, Javier Reinoso
    Esposito, Fabio
    Gonzalez, Luis Llanes
    Monsalve, Diego M. Carrion
    Del Alamo, Julio Fernandez
    Grana, Sonia Ruiz
    Varela, Jorge Juarez
    Coria, Daniel
    Rivera, Vanesa Cuadros
    Gaston, Richard
    Sancha, Fernando Gomez
    [J]. CANCERS, 2023, 15 (22)
  • [4] Robot-assisted radical prostatectomy vs. open radical prostatectomy: latest evidences on perioperative, functional and oncological outcomes
    Dell'Oglio, Paolo
    Mottrie, Alexandre
    Mazzone, Elio
    [J]. CURRENT OPINION IN UROLOGY, 2020, 30 (01) : 73 - 78
  • [5] Perioperative Outcomes of Robot-Assisted Radical Prostatectomy Compared With Open Radical Prostatectomy: Results From the Nationwide Inpatient Sample
    Quoc-Dien Trinh
    Sammon, Jesse
    Sun, Maxine
    Ravi, Praful
    Ghani, Khurshid R.
    Bianchi, Marco
    Jeong, Wooju
    Shariat, Shahrokh F.
    Hansen, Jens
    Schmitges, Jan
    Jeldres, Claudio
    Rogers, Craig G.
    Peabody, James O.
    Montorsi, Francesco
    Menon, Mani
    Karakiewicz, Pierre I.
    [J]. EUROPEAN UROLOGY, 2012, 61 (04) : 679 - 685
  • [6] Comparison of Robot-Assisted Radical Prostatectomy and Open Radical Prostatectomy Outcomes: A Systematic Review and Meta-Analysis
    Seo, Hyun-Ju
    Lee, Na Rae
    Son, Soo Kyung
    Kim, Dae Keun
    Rha, Koon Ho
    Lee, Seon Heui
    [J]. YONSEI MEDICAL JOURNAL, 2016, 57 (05) : 1165 - 1177
  • [7] The Effect of Adverse Patient Characteristics on Perioperative Outcomes in Open and Robot-Assisted Radical Prostatectomy
    Wenzel, Mike
    Preisser, Felix
    Theissen, Lena H.
    Humke, Clara
    Welte, Maria N.
    Wittler, Clarissa
    Kluth, Luis A.
    Karakiewicz, Pierre I.
    Chun, Felix K. H.
    Mandel, Philipp
    Becker, Andreas
    [J]. FRONTIERS IN SURGERY, 2020, 7
  • [8] Comparison of oncological and functional outcomes of perineoscopic radical prostatectomy and robot-assisted radical prostatectomy
    Yusuf Arikan
    Mithat Eksi
    Ali Ihsan Tasci
    [J]. Updates in Surgery, 2023, 75 : 1027 - 1035
  • [9] Comparison of oncological and functional outcomes of perineoscopic radical prostatectomy and robot-assisted radical prostatectomy
    Arikan, Yusuf
    Eksi, Mithat
    Tasci, Ali Ihsan
    [J]. UPDATES IN SURGERY, 2023, 75 (04) : 1027 - 1035
  • [10] Comparison and trend of perioperative outcomes between robot-assisted radical prostatectomy and open radical prostatectomy: nationwide inpatient sample 2009-2014
    Qin, Yingyi
    Han, Hedong
    Xue, Yongping
    Wu, Cheng
    Wei, Xin
    Liu, Yuzhou
    Cao, Yang
    Ruan, Yiming
    He, Jia
    [J]. INTERNATIONAL BRAZ J UROL, 2020, 46 (05): : 754 - 771