ISSN 2149-3235 | E-ISSN 2149-3057
Surgical Technique
Comparison of surgical, oncological, and functional outcomes of robot-assisted and laparoscopic radical prostatectomy in patients with prostate cancer
1 Department of Urology, Health Sciences University, Ümraniye Teaching Hospital, İstanbul, Turkey  
Turk J Urol ; : -
DOI: 10.5152/tud.2018.48457
Key Words: Laparoscopic radical prostatectomy; prostate cancer; robot-assisted radical prostatectomy
Abstract

Objective: To compare the oncological and functional outcomes of robot-assisted radical prostatectomy (RARP) and laparoscopic radical prostatectomy (LRP).

 

Material and methods: We compared patients who underwent RARP(n=778) and LRP(n=48) techniques for prostate cancer between January 2008 and July 2017 in our clinic. Patient demographics, preoperative and postoperative data, pathologic evaluation, continence and potency rates were collected and analyzed retrospectively


Results: The preoperative and demographic data of the patients we included in our study were similar. Operation time, estimated blood loss, hospital stay and foley catheter duration were significantly shorter in the RARP group. The statistical analysis wasfavor robotic prostatectomy in the terms of mean hospital stay, urethral catheter time, early (<30 days) and intermediate(31-90 day) complications.Positive surgical margins and biochemical recurrence rates,recovery of continence and erectile function were similar in both groups
 

Conclusion: Robotic and laparoscopic radical prostatectomy in organ-confined prostate cancer is safe and effective methods. RARP in comparison to LRP has shorter operative time, hospital stay, urethral catheter removal time, and lower early and late complication rates.

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AVES | Copyright © 2018 Turkish Association of Urology | Latest Update: 15.04.2019