Does Prior Abdominal Surgery Influence Outcomes or Complications of Robotic-assisted Laparoscopic Radical Prostatectomy?

Robot‐assisted radical prostatectomy in an initial Japanese series: The impact of prior abdominal surgery on surgical outcomes

“…With respect to LRP and RARP, there was no significant difference between patients with and without a history of abdominal surgery . In the present study, the influence of prior abdominal surgery was consistent with that in most other current reports with respect to total operative time, robotic console time, complications and positive surgical margins.…”

The surgical learning curve for robotic-assisted laparoscopic radical prostatectomy: experience of a single surgeon with 500 cases in Taiwan, China

“…The frequency of PSM in any series is influenced by surgical technique (procedure, neurovascular preservation, ability, and experience), tumor features (size, aggressiveness, extension), patient factors (BMI, prostate volume), and pathological analysis 15. We reviewed 22 studies of RALP with more than 500 cases reporting PSM ( Table 6 ) 7816171819202122232425262728293031323334353637. These studies assessed patients with the following clinical characteristics: PSA, 4.4–9.7 ng ml –1 ; clinical stage T1, 63.2%–90.0%; cT3, 0%–3%; high-risk patients, and 8.2%–12.0%.…”

“…Our PSM rate for pT2 (15.5%), pT3 (41.0%), and pT4 (95.8%) patients was within the range of those from other studies around the world ( Table 6 ). We reviewed nine studies of RARP for which more than 500 cases reported BCR ( Table 7 ) 72021222324293435363839. The clinical characteristics of these cohorts included PSA 4.4–9.7 ng ml –1 , 69.5%–88.0% of clinical stage T1, 12.0%–29.2% of T2, 0%–2.4% of T3, and about 11% high-risk patients.…”

Robot-Assisted Radical Prostatectomy

“…Transfusion rates are lower and return to normal activity is shorter in RARP (5,16,20). In addition, complex situations like salvage RP or a history of rectum extirpation are no longer a contraindication for RARP (11,18). In the future the development of new instruments and the possibility of the use of simultaneous imaging will lead to more possibilities and maybe also to better results.…”