National trends and differences in morbidity among surgical approaches for radical prostatectomy in Germany

Stolzenburg, J.U.; Kyriazis, Iason; Fahlenbrach, C; Gilfrich, Christian; Günster, Christian; Jeschke, Elke; Popken, G.; Weißbach, L.; Zastrow, Christoph von; Leicht, Hanna

doi:10.1007/s00345-016-1813-7

Cited by 20 publications

(7 citation statements)

References 13 publications

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“…While numerous investigators have reported complications after RP, most of them lacked standardised reporting systems, which are essential for quality management, as well as for comparison across approaches or institutions [2,3]. As such, the Martin and Clavien-Dindo criteria are commonly relied on [2,4,5] Published in 2002, Martin et al [2] developed 10 criteria for accurate and assisted laparoscopic prostatectomy (RALP) has been broadly adopted in the USA and Europe [6][7][8][9]. Despite the rapid spread of RALP, to date, only few retrospective data compared the two approaches with regard to complications using standardised reporting systems [6,10].…”

Section: Introductionmentioning

confidence: 99%

“…Traditionally, RP has been performed using an open approach (ORP). Nevertheless, over the past decade, robot‐assisted laparoscopic prostatectomy (RALP) has been broadly adopted in the USA and Europe . Despite the rapid spread of RALP, to date, only few retrospective data compared the two approaches with regard to complications using standardised reporting systems .…”

Section: Introductionmentioning

confidence: 99%

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Postoperative complications of contemporary open and robot‐assisted laparoscopic radical prostatectomy using standardised reporting systems

et al. 2018

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Postoperative complications of contemporary open and robot‐assisted laparoscopic radical prostatectomy using standardised reporting systems

et al. 2018

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“…Over 90 000 RPs are performed per year in the USA 30 and about 25 500 in Germany. 31 Due to this high volume, even small differences in surgical outcomes can possibly affect a great number of patients. Therefore, we aim to increase the level of evidence concerning the optimal suture techniques for VUA.…”

Section: Discussionmentioning

confidence: 99%

Interrupted versus continuous suturing for vesicourethral anastomosis during radical prostatectomy: protocol for a systematic review and meta-analysis

et al. 2017

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IntroductionRadical prostatectomy is the mainstay of treatment for prostate cancer. The vesicourethral anastomosis is a critical step, which most likely impacts urinary continence and urethral stenosis. To date, it still remains unclear whether interrupted and continuous suturing for the anastomosis have different outcomes. Therefore, the aim of this systematic review and meta-analysis is to compare different suture techniques for vesicourethral anastomosis in terms of surgical and functional parameters.Methods and analysisA comprehensive literature search will be conducted covering MEDLINE, Embase, Web of Science, the Cochrane Central Register of Controlled Trials and ClinicalTrials.gov. Studies comparing interrupted versus continuous suturing will be included in the analyses. No language restrictions will be applied. Screening, data extraction, statistical analysis and reporting will be done in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Quality assessment will be performed with the help of the Cochrane Collaboration’s tool for assessing risk of bias and the Newcastle-Ottawa Scale for assessing quality of non-randomised studies. The quality of evidence will be evaluated with the Grading of Recommendations Assessment, Development and Evaluation. The primary outcome will be the time until removal of the urinary catheter. Secondary outcomes include rate of extravasation, length of hospital stay, time needed to perform the anastomosis, continence level at defined postoperative intervals and development of urethral strictures. Quantitative analysis will be calculated if meaningful.Ethics and disseminationIn order to meet the highest ethical and methodological standards. we followed the PRISMA Protocol 2015 checklist. Each item was answered appropriately. For systematic reviews the ethical issues are strictly methodological as only data that were published earlier will be used. The full manuscript will be submitted to a peer-reviewed journal. Furthermore, the results will be presented on national and international congresses.Trial registration numberInternational prospective register of systematic reviews PROSPERO CRD42017076126.

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“…The incidence of PCa in China is much lower than that in western countries but has increased dramatically in recent years [ 4 ]. Satisfactory therapeutic effects for PCa at early stage can be achieved through RP, including ORP, LRP, and RARP [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

A novel “three-port” trocar placement technique for laparoscopic radical prostatectomy

Peng

et al. 2020

World J Surg Onc

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Background To introduce a novel “three-port” trocar placement technique for laparoscopic radical prostatectomy (LRP) in prostate cancer (PCa) patients. Methods We retrospectively reviewed 300 patients with PCa who received surgical treatment between November 2010 and June 2015 at our institution. They were divided into group A, three-port LRP; group B, conventional four-five-port LRP; group C, open RP (ORP); and group D, robotic-assisted RP (RARP). A learning curve was analyzed by dividing patients of group A into the early and late stages. Results All groups were comparable with regard to the preoperative characteristics except for the relatively smaller prostate volume in group A. The three-port LRP operations were performed successfully with only 8 cases of conversion to the conventional LRP. None of any severe complications or conversion to ORP occurred. In group A, the mean operative time (OT) duration was 113.8 min, the mean estimated blood loss (EBL) was 94.2 ml, the mean drainage days was 4.0 days, the mean hospitalization was 5.1 days, and 27.8% of the prostate specimen margins (PSM) were positive. The differences of OT, EBL, drainage days, hospitalization, and transfusion in group A were statistically significant among the majority of the other groups (p < 0.05). After undergoing the early stages of a learning curve analysis in three-port LRP, the EBL was obviously decreased. Conclusions Three-port LRP is a novel technique that exhibits superior intraoperative advantages to the conventional LRP. Due to its less OT, EBL, drainage days, hospitalization, and transfusion with a shorter learning curve, it should be recommended and popularized in the clinical practice.

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National trends and differences in morbidity among surgical approaches for radical prostatectomy in Germany

Abstract: RP utilization in Germany is dropping, but the use of MIRP has risen steadily during the years 2005-2012, which is expected to have a positive impact on the morbidity of the operation.

Cited by 20 publications

References 13 publications

Postoperative complications of contemporary open and robot‐assisted laparoscopic radical prostatectomy using standardised reporting systems

Postoperative complications of contemporary open and robot‐assisted laparoscopic radical prostatectomy using standardised reporting systems

Interrupted versus continuous suturing for vesicourethral anastomosis during radical prostatectomy: protocol for a systematic review and meta-analysis

A novel “three-port” trocar placement technique for laparoscopic radical prostatectomy

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