Comparison of robotic and open radical prostatectomy: Initial experience of a single surgeon

Şimşir, Adnan; Kızılay, Fuat; Aliyev, Bayram; Kalemci, Serdar

doi:10.12669/pjms.37.1.2719

“…Şimşir et al who compared 204 RARPs and 755 RRPs from 2007 and 2019 [29]. In their study, the operation time was shorter in the open group (117 vs 188 min), and estimated blood loss (328 vs 150 ml), blood transfusion rate (12 vs 2), and re-operation rate (6 vs 0) were in favour of the robotic group.…”

mentioning

confidence: 97%

Long-term comparative outcome analysis of a robot-assisted laparoscopic prostatectomy with retropubic radical prostatectomy by a single surgeon

Tillu

¹

,

Kulkarni

²

2022

J Robotic Surg

2

0

View full text Add to dashboard Cite

ObjectiveWe aimed to give a comprehensive outcome analysis of robot assisted laparoscopic prostatectomies (RALP) performed by a single surgeon and compared it to retropubic radical prostatectomies (RRP) done by the same surgeon in a high-volume center. Materials and MethodsPreoperative, perioperative, and postoperative data were collected prospectively and compared with retrospective retropubic radical prostatectomy data. Perioperative, oncological data and functional results in the rst year were compared between the two groups. There were 547 RARPs between 4 th August 2011 to 31 st December 2018, and 428 RRPs between 1 st January 1996 to 31 st December 2009 which were included in this review. ResultsWhile the operation time was in favor of the open group (196 vs 160 min, p<0.01), the estimated blood loss (188 vs 316ml, p<0.01), blood transfusion rate (3% vs 7% p=0.021), hospital stay (4 days vs 7 days) and mean catheter duration (12 vs 15 days) were in favor of the robotic group. Majority of the complications belonged to Clavien-Dindo group II in both groups and rates were not signi cantly different. (p=0.33) 12-month continence rate was in favor of RALP group (98.3% vs 99.2%, p <0.01).

show abstract

Long-term comparative outcome analysis of a Robot-Assisted Laparoscopic Prostatectomy with Retropubic Radical Prostatectomy by a single surgeon

Tillu

¹

,

Kulkarni

²

2022

Preprint

0

View full text Add to dashboard Cite

ObjectiveWe aimed to give a comprehensive outcome analysis of robot assisted laparoscopic prostatectomies (RALP) performed by a single surgeon and compared it to retropubic radical prostatectomies (RRP) done by the same surgeon in a high-volume center.Materials and MethodsPreoperative, perioperative, and postoperative data were collected prospectively and compared with retrospective retropubic radical prostatectomy data. Perioperative, oncological data and functional results in the first year were compared between the two groups. There were 547 RARPs between 4th August 2011 to 31st December 2018, and 428 RRPs between 1st January 1996 to 31st December 2009 which were included in this review.ResultsWhile the operation time was in favor of the open group (196 vs 160 min, p<0.01), the estimated blood loss (188 vs 316ml, p<0.01), blood transfusion rate (3% vs 7% p=0.021), hospital stay (4 days vs 7 days) and mean catheter duration (12 vs 15 days) were in favor of the robotic group. Majority of the complications belonged to Clavien-Dindo group II in both groups and rates were not significantly different. (p=0.33) 12-month continence rate was in favor of RALP group (98.3% vs 99.2%, p <0.01). Overall survival of the RALP cohort at 24 months was 99.8%, 60 months 96.1%, 84 months 87.3% , 96 months 81.3%), 108 months was 79.5%. Overall survival at 24 months was 99.8%, 60 months 96.1%, 84 months 87.3%, 96 months 81.3%, and 108 months was 79.5%.ConclusionRALP is a safe, minimally invasive technically feasible procedure with comparable functional and oncological outcomes. Our study showed superior perioperative and continence outcomes in RALP. However, despite its growing popularity, RRP still remains the gold standard in India due to its affordability and accessibility.

show abstract

Comparative assessment of the learning curve of retropubic, laparoscopic, perineal, and robot-assisted radical prostatectomy

Ryabov

¹

,

Котов

²

2022

Vestn. Urol.

2

0

View full text Add to dashboard Cite

Introduction. The learning curve (LC) of radical prostatectomy (RP) is an actual problem in contemporary urology.Objective. To assess the LC of retropubic (rpRP), perineal (plRP), laparoscopic (LRP), and robot-assisted radical prostatectomy (RARP).Materials and methods. The study included 400 patients with localized or locally advanced prostate cancer (T1cT3bN0M0) who underwent rpRP, plRP, LRP or RARP performed by a single surgeon. Exclusion criteria: refusal of surgical treatment, metastatic prostate cancer, primary multiple cancer, neoadjuvant hormonal, radiation or chemotherapy.Results. Progressive improvement of metric indicators was noted in all groups as the surgical technique was mastered. Maximum rates of reaching the plateau of satisfactory functional and early oncological results were demonstrated in the RARP group after 25 – 50 procedures. In terms of the duration of the surgery, the LRP group showed the longest mastering period of 75 – 100 cases. Regression of blood loss volume requires 50 – 75 procedures in the rpRP and LRP groups, and 25 – 50 approaches in the rpRP and RARP groups. RARP demonstrates advantages in the context of minimization of catheterization time and inpatient period (25 – 50 cases). rpRP is not only associated with a maximum amount (n = 30) and frequency (21,0%) of complications, but also with a relatively long period of reaching a plateau of 50 – 75 cases. The stabilization of functional results is proceeding at the maximum pace in the RARP group at 25 – 50 procedures, in the other groups at 50 – 75 cases. Oncological safety (positive surgical margin) in the LRP, rpRP and RARP groups is achievable after 25 – 50 cases, in the rpRP group at 50 – 75 cases.Conclusion. The period of RP mastering depends on surgical approaches. RARP demonstrates the shortest LC duration.

show abstract

Comparison of robotic and open radical prostatectomy: Initial experience of a single surgeon

Cited by 5 publications

References 27 publications

Long-term comparative outcome analysis of a robot-assisted laparoscopic prostatectomy with retropubic radical prostatectomy by a single surgeon

Long-term comparative outcome analysis of a robot-assisted laparoscopic prostatectomy with retropubic radical prostatectomy by a single surgeon

Long-term comparative outcome analysis of a Robot-Assisted Laparoscopic Prostatectomy with Retropubic Radical Prostatectomy by a single surgeon

Comparative assessment of the learning curve of retropubic, laparoscopic, perineal, and robot-assisted radical prostatectomy

Contact Info

Product

Resources

About