Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy
Abstract Background Robot-assisted radical prostatectomy (RARP) is performed by urologists as one of the surgical procedures for treating prostate cancer. Numerous studies have been published with regard to the impact of prostate weight on performing RARP but were limited by the insufficient number...
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| Format: | Article |
| Language: | English |
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BMC
2019-01-01
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| Series: | BMC Urology |
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| Online Access: | http://link.springer.com/article/10.1186/s12894-018-0434-4 |
| _version_ | 1818321677205897216 |
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| author | Min Seok Kim Won Sik Jang Doo Yong Chung Dong Hoon Koh Jong Soo Lee Hyeok Jun Goh Young Deuk Choi |
| author_facet | Min Seok Kim Won Sik Jang Doo Yong Chung Dong Hoon Koh Jong Soo Lee Hyeok Jun Goh Young Deuk Choi |
| author_sort | Min Seok Kim |
| collection | DOAJ |
| description | Abstract Background Robot-assisted radical prostatectomy (RARP) is performed by urologists as one of the surgical procedures for treating prostate cancer. Numerous studies have been published with regard to the impact of prostate weight on performing RARP but were limited by the insufficient number of patients and use of the transperitoneal approach. This study aimed to determine the effect of prostate gland weight on the surgical and short-term oncological outcomes of RARP using the extraperitoneal approach. Methods In total, 1168 patients who underwent extraperitoneal RARP (EP-RARP) performed by a single surgeon at Yonsei University Severance Hospital between May 2009 and May 2016 were included in the study. The patients were divided into 4 groups according to the prostate weight measured by transrectal ultrasonography preoperatively. Intraoperative and postoperative outcomes were analyzed retrospectively. One-way analysis of variance and the chi-square test were used in the statistical analyses. Results Age, the Gleason score, clinical stage, and pathological stage were significantly different. Patients with a larger prostate size had a longer console time and higher estimated blood loss (P < 0.05). There were no significant differences between the 4 groups in length of hospital stay, duration of catheterization, blood transfusion, body mass index, prostate-specific antigen (PSA) level, history of abdominal surgery, intraoperative complications, positive surgical margin, incidence of lymphocele, and PSA recurrence after 1 year. Conclusions The console time and estimated blood loss were significantly increased with a larger prostate size. However, there were no significant differences in the oncologic outcome and intraoperative complications, suggesting that EP-RARP requires meticulous bleeding control in patients with a prostate weighing > 75 g, and if appropriate management is implemented for blood loss intraoperatively, EP-RARP can be performed regardless of the prostate size. |
| first_indexed | 2024-12-13T10:44:42Z |
| format | Article |
| id | doaj.art-ccf7716de667447499e71580398c7580 |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-12-13T10:44:42Z |
| publishDate | 2019-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-ccf7716de667447499e71580398c75802022-12-21T23:50:17ZengBMCBMC Urology1471-24902019-01-011911610.1186/s12894-018-0434-4Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomyMin Seok Kim0Won Sik Jang1Doo Yong Chung2Dong Hoon Koh3Jong Soo Lee4Hyeok Jun Goh5Young Deuk Choi6Department of Urology and Urological Science Institute, Yonsei University College of MedicineDepartment of Urology and Urological Science Institute, Yonsei University College of MedicineDepartment of Urology and Urological Science Institute, Yonsei University College of MedicineDepartment of Urology and Urological Science Institute, Yonsei University College of MedicineDepartment of Urology and Urological Science Institute, Yonsei University College of MedicineDepartment of Urology and Urological Science Institute, Yonsei University College of MedicineDepartment of Urology, Severance Hospital, Urological Science Institute, Yonsei University College of MedicineAbstract Background Robot-assisted radical prostatectomy (RARP) is performed by urologists as one of the surgical procedures for treating prostate cancer. Numerous studies have been published with regard to the impact of prostate weight on performing RARP but were limited by the insufficient number of patients and use of the transperitoneal approach. This study aimed to determine the effect of prostate gland weight on the surgical and short-term oncological outcomes of RARP using the extraperitoneal approach. Methods In total, 1168 patients who underwent extraperitoneal RARP (EP-RARP) performed by a single surgeon at Yonsei University Severance Hospital between May 2009 and May 2016 were included in the study. The patients were divided into 4 groups according to the prostate weight measured by transrectal ultrasonography preoperatively. Intraoperative and postoperative outcomes were analyzed retrospectively. One-way analysis of variance and the chi-square test were used in the statistical analyses. Results Age, the Gleason score, clinical stage, and pathological stage were significantly different. Patients with a larger prostate size had a longer console time and higher estimated blood loss (P < 0.05). There were no significant differences between the 4 groups in length of hospital stay, duration of catheterization, blood transfusion, body mass index, prostate-specific antigen (PSA) level, history of abdominal surgery, intraoperative complications, positive surgical margin, incidence of lymphocele, and PSA recurrence after 1 year. Conclusions The console time and estimated blood loss were significantly increased with a larger prostate size. However, there were no significant differences in the oncologic outcome and intraoperative complications, suggesting that EP-RARP requires meticulous bleeding control in patients with a prostate weighing > 75 g, and if appropriate management is implemented for blood loss intraoperatively, EP-RARP can be performed regardless of the prostate size.http://link.springer.com/article/10.1186/s12894-018-0434-4Radical prostatectomyProstate weightRobotProstate cancer |
| spellingShingle | Min Seok Kim Won Sik Jang Doo Yong Chung Dong Hoon Koh Jong Soo Lee Hyeok Jun Goh Young Deuk Choi Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy BMC Urology Radical prostatectomy Prostate weight Robot Prostate cancer |
| title | Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy |
| title_full | Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy |
| title_fullStr | Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy |
| title_full_unstemmed | Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy |
| title_short | Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy |
| title_sort | effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot assisted radical prostatectomy |
| topic | Radical prostatectomy Prostate weight Robot Prostate cancer |
| url | http://link.springer.com/article/10.1186/s12894-018-0434-4 |
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