The Comparison of Conventional and Retzius-Sparing Robot-Assisted Radical Prostatectomy for Clinical, Pathological, and Oncological Outcomes
Objective:This study aimed to assess and compare the conventional and Retzius-sparing robot-assisted radical prostatectomy (cRARP and RsRARP) in term of perioperative clinical, pathological, and oncological outcomes.Materials and Methods:This study included 238 consecutive male patients who underwen...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2022-03-01
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| Series: | Journal of Urological Surgery |
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| Online Access: |
http://jurolsurgery.org/archives/archive-detail/article-preview/the-comparison-of-conventional-and-retzius-sparing/51019
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| _version_ | 1797913336510152704 |
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| author | Nejdet Karşıyakalı Mahir Bülent Özgen Bora Özveren Haydar Durak Yeşim Sağlıcan Levent Türkeri |
| author_facet | Nejdet Karşıyakalı Mahir Bülent Özgen Bora Özveren Haydar Durak Yeşim Sağlıcan Levent Türkeri |
| author_sort | Nejdet Karşıyakalı |
| collection | DOAJ |
| description | Objective:This study aimed to assess and compare the conventional and Retzius-sparing robot-assisted radical prostatectomy (cRARP and RsRARP) in term of perioperative clinical, pathological, and oncological outcomes.Materials and Methods:This study included 238 consecutive male patients who underwent RARP between May 2008 and November 2020. RARP operations were performed by a single-surgeon. Patients were divided into groups according to the surgical approach and were statistically compared in terms of perioperative clinical, final pathological, and oncological outcomes.Results:The mean age of patients was 64±7 years. cRARP was performed in 134 (56.3%) patients, whereas RsRARP in 104 (43.7%). The frequency of patients with the American Society of Anesthesiologists Class-2 score was higher in the RsRARP group (p<0.001). The median surgery duration was 300 (270-360) min. The median surgery duration was shorter in RsRARP group (290 vs. 330 minute) (p<0.001). No difference was found between the groups in terms of estimated blood loss and postoperative complication rates (p=0.112 and p=0.182, respectively). No difference was found between the groups when they were compared for surgical margin positivity (p=0.453). Although not statistically significant, the frequency of surgical margin positivity with pT3a/pT3b disease was higher in patients who underwent cRARP (p=0.412 and p=0.261, respectively). At a median follow-up of 13 (6-36) months, no difference was found between the groups in terms of biochemical recurrence at months -3,-6,-9,-12,-18,-24, and -30, respectively (p>0.05, for each).Conclusion:RsRARP allows a safe operation with a shorter surgical time and similar surgical margin positivity, oncological outcomes, and complication rates compared to cRARP. |
| first_indexed | 2024-04-10T12:10:13Z |
| format | Article |
| id | doaj.art-7ba1433d9d604f1895dd22fce5cf48aa |
| institution | Directory Open Access Journal |
| issn | 2148-9580 |
| language | English |
| last_indexed | 2024-04-10T12:10:13Z |
| publishDate | 2022-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj.art-7ba1433d9d604f1895dd22fce5cf48aa2023-02-15T16:16:02ZengGalenos YayineviJournal of Urological Surgery2148-95802022-03-01911810.4274/jus.galenos.2021.2021.004813049054The Comparison of Conventional and Retzius-Sparing Robot-Assisted Radical Prostatectomy for Clinical, Pathological, and Oncological OutcomesNejdet Karşıyakalı0Mahir Bülent Özgen1Bora Özveren2Haydar Durak3Yeşim Sağlıcan4Levent Türkeri5 Acıbadem Mehmet Ali Aydınlar University, Altunizade Hospital, Clinic of Urology, İstanbul, Turkiye Acıbadem Mehmet Ali Aydınlar University, Altunizade Hospital, Clinic of Urology, İstanbul, Turkiye Acıbadem Mehmet Ali Aydınlar University, Altunizade Hospital, Clinic of Urology, İstanbul, Turkiye Acıbadem Mehmet Ali Aydınlar University, Altunizade Hospital, Clinical Pathology Laboratory, İstanbul, Turkiye Acıbadem Mehmet Ali Aydınlar University, Maslak Hospital, Clinic of Pathology, İstanbul, Turkiye Acıbadem Mehmet Ali Aydınlar University, Altunizade Hospital, Clinic of Urology, İstanbul, Turkiye Objective:This study aimed to assess and compare the conventional and Retzius-sparing robot-assisted radical prostatectomy (cRARP and RsRARP) in term of perioperative clinical, pathological, and oncological outcomes.Materials and Methods:This study included 238 consecutive male patients who underwent RARP between May 2008 and November 2020. RARP operations were performed by a single-surgeon. Patients were divided into groups according to the surgical approach and were statistically compared in terms of perioperative clinical, final pathological, and oncological outcomes.Results:The mean age of patients was 64±7 years. cRARP was performed in 134 (56.3%) patients, whereas RsRARP in 104 (43.7%). The frequency of patients with the American Society of Anesthesiologists Class-2 score was higher in the RsRARP group (p<0.001). The median surgery duration was 300 (270-360) min. The median surgery duration was shorter in RsRARP group (290 vs. 330 minute) (p<0.001). No difference was found between the groups in terms of estimated blood loss and postoperative complication rates (p=0.112 and p=0.182, respectively). No difference was found between the groups when they were compared for surgical margin positivity (p=0.453). Although not statistically significant, the frequency of surgical margin positivity with pT3a/pT3b disease was higher in patients who underwent cRARP (p=0.412 and p=0.261, respectively). At a median follow-up of 13 (6-36) months, no difference was found between the groups in terms of biochemical recurrence at months -3,-6,-9,-12,-18,-24, and -30, respectively (p>0.05, for each).Conclusion:RsRARP allows a safe operation with a shorter surgical time and similar surgical margin positivity, oncological outcomes, and complication rates compared to cRARP. http://jurolsurgery.org/archives/archive-detail/article-preview/the-comparison-of-conventional-and-retzius-sparing/51019 retzius-sparingrobot-assisted radical prostatectomyradical prostatectomyroboticsprostate cancer |
| spellingShingle | Nejdet Karşıyakalı Mahir Bülent Özgen Bora Özveren Haydar Durak Yeşim Sağlıcan Levent Türkeri The Comparison of Conventional and Retzius-Sparing Robot-Assisted Radical Prostatectomy for Clinical, Pathological, and Oncological Outcomes Journal of Urological Surgery retzius-sparing robot-assisted radical prostatectomy radical prostatectomy robotics prostate cancer |
| title | The Comparison of Conventional and Retzius-Sparing Robot-Assisted Radical Prostatectomy for Clinical, Pathological, and Oncological Outcomes |
| title_full | The Comparison of Conventional and Retzius-Sparing Robot-Assisted Radical Prostatectomy for Clinical, Pathological, and Oncological Outcomes |
| title_fullStr | The Comparison of Conventional and Retzius-Sparing Robot-Assisted Radical Prostatectomy for Clinical, Pathological, and Oncological Outcomes |
| title_full_unstemmed | The Comparison of Conventional and Retzius-Sparing Robot-Assisted Radical Prostatectomy for Clinical, Pathological, and Oncological Outcomes |
| title_short | The Comparison of Conventional and Retzius-Sparing Robot-Assisted Radical Prostatectomy for Clinical, Pathological, and Oncological Outcomes |
| title_sort | comparison of conventional and retzius sparing robot assisted radical prostatectomy for clinical pathological and oncological outcomes |
| topic | retzius-sparing robot-assisted radical prostatectomy radical prostatectomy robotics prostate cancer |
| url |
http://jurolsurgery.org/archives/archive-detail/article-preview/the-comparison-of-conventional-and-retzius-sparing/51019
|
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