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Robotic radical prostatectomy: outcomes of 500 cases.
BJU Int. 2007 May; 99(5):1109-12.BI

Abstract

OBJECTIVE

To report the outcomes of 500 robotically assisted laparoscopic radical prostatectomies (RALPs), a minimally invasive alternative for treating prostate cancer.

PATIENTS AND METHODS

In all, 500 patients had RALP over a 30-month period. A transperitoneal six-port approach was used in each case, with the da Vinci robotic surgical system (Intuitive Surgical, Sunnyvale, CA, USA). Prospective data collection included quality-of-life questionnaires, basic demographics (height, weight and body mass index), prostate specific antigen (PSA) levels, clinical stage and Gleason grade. Variables assessed during RALP were operative duration, estimated blood loss (EBL) and complications, and after RALP were hospital stay, catheter time, pathology, PSA level, return of continence and potency.

RESULTS

The mean (range) duration of RALP was 130 (51-330) min; all procedures were successful, with no intraoperative transfusions or deaths. The mean EBL was 10-300 mL; 97% of patients were discharged home on the first day after RALP with a mean haematocrit of 36%. The mean duration of catheterization was 6.9 (5-21) days. The positive margin rate was 9.4% for all patients; i.e. 2.5% for T2 tumours, 23% for T3a and 53% for T4. The overall biochemical recurrence free (PSA level<0.1 ng/mL) survival was 95% at mean follow-up of 9.7 months. There was complete continence at 3 and 6 months in 89% and 95% of patients, respectively. At 1 year 78% of patients were potent (with or without the use of oral medications), 15% were not yet able to sustain erections capable of intercourse, and another 7% still required injection therapy.

CONCLUSION

RALP is a safe, feasible and minimally invasive alternative for treating prostate cancer. Our initial experience with the procedure shows promising short-term outcomes.

Authors+Show Affiliations

Center for Robotic and Computer Assisted Surgery, Division of Urology, Ohio State University, Columbus, OH 43210-1228, USA. Patel.914@osu.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17437441

Citation

Patel, Vipul R., et al. "Robotic Radical Prostatectomy: Outcomes of 500 Cases." BJU International, vol. 99, no. 5, 2007, pp. 1109-12.
Patel VR, Thaly R, Shah K. Robotic radical prostatectomy: outcomes of 500 cases. BJU Int. 2007;99(5):1109-12.
Patel, V. R., Thaly, R., & Shah, K. (2007). Robotic radical prostatectomy: outcomes of 500 cases. BJU International, 99(5), 1109-12.
Patel VR, Thaly R, Shah K. Robotic Radical Prostatectomy: Outcomes of 500 Cases. BJU Int. 2007;99(5):1109-12. PubMed PMID: 17437441.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Robotic radical prostatectomy: outcomes of 500 cases. AU - Patel,Vipul R, AU - Thaly,Rahul, AU - Shah,Ketul, PY - 2007/4/18/pubmed PY - 2007/6/9/medline PY - 2007/4/18/entrez SP - 1109 EP - 12 JF - BJU international JO - BJU Int VL - 99 IS - 5 N2 - OBJECTIVE: To report the outcomes of 500 robotically assisted laparoscopic radical prostatectomies (RALPs), a minimally invasive alternative for treating prostate cancer. PATIENTS AND METHODS: In all, 500 patients had RALP over a 30-month period. A transperitoneal six-port approach was used in each case, with the da Vinci robotic surgical system (Intuitive Surgical, Sunnyvale, CA, USA). Prospective data collection included quality-of-life questionnaires, basic demographics (height, weight and body mass index), prostate specific antigen (PSA) levels, clinical stage and Gleason grade. Variables assessed during RALP were operative duration, estimated blood loss (EBL) and complications, and after RALP were hospital stay, catheter time, pathology, PSA level, return of continence and potency. RESULTS: The mean (range) duration of RALP was 130 (51-330) min; all procedures were successful, with no intraoperative transfusions or deaths. The mean EBL was 10-300 mL; 97% of patients were discharged home on the first day after RALP with a mean haematocrit of 36%. The mean duration of catheterization was 6.9 (5-21) days. The positive margin rate was 9.4% for all patients; i.e. 2.5% for T2 tumours, 23% for T3a and 53% for T4. The overall biochemical recurrence free (PSA level<0.1 ng/mL) survival was 95% at mean follow-up of 9.7 months. There was complete continence at 3 and 6 months in 89% and 95% of patients, respectively. At 1 year 78% of patients were potent (with or without the use of oral medications), 15% were not yet able to sustain erections capable of intercourse, and another 7% still required injection therapy. CONCLUSION: RALP is a safe, feasible and minimally invasive alternative for treating prostate cancer. Our initial experience with the procedure shows promising short-term outcomes. SN - 1464-4096 UR - https://www.unboundmedicine.com/medline/citation/17437441/Robotic_radical_prostatectomy:_outcomes_of_500_cases_ L2 - https://doi.org/10.1111/j.1464-410X.2007.06762.x DB - PRIME DP - Unbound Medicine ER -