Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea
Background: This study compared the surgical, functional, and oncologic outcomes of robot-assisted laparoscopic radical prostatectomy (RALP), laparoscopic radical prostatectomy (LRP), and retropubic radical prostatectomy (RRP) in Korean men. Methods: The study population included 864 patients who un...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-03-01
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| Series: | Prostate International |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2287888217301599 |
| _version_ | 1827852078596227072 |
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| author | Ji Eun Yun Na Rae Lee Cheol Kwak Koon Ho Rha Seong Il Seo Sung-Hoo Hong Young Goo Lee Dong Ah Park Choung Soo Kim Seon Heui Lee |
| author_facet | Ji Eun Yun Na Rae Lee Cheol Kwak Koon Ho Rha Seong Il Seo Sung-Hoo Hong Young Goo Lee Dong Ah Park Choung Soo Kim Seon Heui Lee |
| author_sort | Ji Eun Yun |
| collection | DOAJ |
| description | Background: This study compared the surgical, functional, and oncologic outcomes of robot-assisted laparoscopic radical prostatectomy (RALP), laparoscopic radical prostatectomy (LRP), and retropubic radical prostatectomy (RRP) in Korean men. Methods: The study population included 864 patients who underwent radical prostatectomy for prostate cancer in the departments of urology of five tertiary hospitals between 2010 and 2011. RALP, LRP, and RRP perioperative, oncological, and functional outcomes as well as complications were assessed. Medical cost data were analyzed for 682 of 864 patients. Results: No significant differences were found among the three groups regarding the length of stay, biochemical recurrence, complications, and metastasis. The RALP group had a significantly higher rate of pelvic lymph node dissection (64.6% vs. 35.3% or 53.3%, P value <0.0001) and bilateral nerve-sparing procedures (15.7% vs. 10.0% or 8.9%, P value <0.0001) and less blood loss (median 250 mL vs. 300 mL or 700 mL, P value <0.0001) than the LRP and RRP groups. The 12-month continence recovery rate was higher in the RALP group (92.1%) than in the LRP (86.5%) and RRP (84.4%) groups (P value <0.0001). Medical costs for RALP were approximately twofold to threefold higher than those for LRP or RRP. Conclusions: Our findings suggest that surgical and functional outcomes are better with robot-assisted surgery than with laparoscopic or open surgery in terms of estimated blood loss and urinary continence; however, no differences were found among groups in terms of biochemical recurrence and the rate of complications. Keywords: Laparoscopic prostatectomy, Prostate cancer, Radical prostatectomy, Robotic prostatectomy, Robotic surgery |
| first_indexed | 2024-03-12T10:43:54Z |
| format | Article |
| id | doaj.art-b7243d0bd9ee492c96ca35fbee1f710f |
| institution | Directory Open Access Journal |
| issn | 2287-8882 |
| language | English |
| last_indexed | 2024-03-12T10:43:54Z |
| publishDate | 2019-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Prostate International |
| spelling | doaj.art-b7243d0bd9ee492c96ca35fbee1f710f2023-09-02T07:53:53ZengElsevierProstate International2287-88822019-03-01711924Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in KoreaJi Eun Yun0Na Rae Lee1Cheol Kwak2Koon Ho Rha3Seong Il Seo4Sung-Hoo Hong5Young Goo Lee6Dong Ah Park7Choung Soo Kim8Seon Heui Lee9National Evidence-based Healthcare Collaborating Agency, Seoul, KoreaNational Evidence-based Healthcare Collaborating Agency, Seoul, KoreaDepartment of Urology, Seoul National University, Seoul, KoreaDepartment of Urology, Yonsei University College of Medicine, Seoul, KoreaDepartment of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Surgery, The Catholic University of Korea College of Medicine, Seoul, KoreaDepartment of Urology, Hallym University of Korea College of Medicine, Seoul, KoreaNational Evidence-based Healthcare Collaborating Agency, Seoul, KoreaDepartment of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea; Corresponding author. Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.Department of Nursing Science, College of Nursing, Gachon University, Incheon, Korea; Corresponding author. Department of Nursing Science, College of Nursing, Gachon University, Incheon 461-701, Korea.Background: This study compared the surgical, functional, and oncologic outcomes of robot-assisted laparoscopic radical prostatectomy (RALP), laparoscopic radical prostatectomy (LRP), and retropubic radical prostatectomy (RRP) in Korean men. Methods: The study population included 864 patients who underwent radical prostatectomy for prostate cancer in the departments of urology of five tertiary hospitals between 2010 and 2011. RALP, LRP, and RRP perioperative, oncological, and functional outcomes as well as complications were assessed. Medical cost data were analyzed for 682 of 864 patients. Results: No significant differences were found among the three groups regarding the length of stay, biochemical recurrence, complications, and metastasis. The RALP group had a significantly higher rate of pelvic lymph node dissection (64.6% vs. 35.3% or 53.3%, P value <0.0001) and bilateral nerve-sparing procedures (15.7% vs. 10.0% or 8.9%, P value <0.0001) and less blood loss (median 250 mL vs. 300 mL or 700 mL, P value <0.0001) than the LRP and RRP groups. The 12-month continence recovery rate was higher in the RALP group (92.1%) than in the LRP (86.5%) and RRP (84.4%) groups (P value <0.0001). Medical costs for RALP were approximately twofold to threefold higher than those for LRP or RRP. Conclusions: Our findings suggest that surgical and functional outcomes are better with robot-assisted surgery than with laparoscopic or open surgery in terms of estimated blood loss and urinary continence; however, no differences were found among groups in terms of biochemical recurrence and the rate of complications. Keywords: Laparoscopic prostatectomy, Prostate cancer, Radical prostatectomy, Robotic prostatectomy, Robotic surgeryhttp://www.sciencedirect.com/science/article/pii/S2287888217301599 |
| spellingShingle | Ji Eun Yun Na Rae Lee Cheol Kwak Koon Ho Rha Seong Il Seo Sung-Hoo Hong Young Goo Lee Dong Ah Park Choung Soo Kim Seon Heui Lee Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea Prostate International |
| title | Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea |
| title_full | Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea |
| title_fullStr | Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea |
| title_full_unstemmed | Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea |
| title_short | Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea |
| title_sort | clinical outcomes and costs of robotic surgery in prostate cancer a multiinstitutional study in korea |
| url | http://www.sciencedirect.com/science/article/pii/S2287888217301599 |
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