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A direct comparison of robotic assisted versus pure laparoscopic radical prostatectomy: a single institution experience.
J Urol. 2007 Aug; 178(2):478-82.JU

Abstract

PURPOSE

We compared a single institution experience with radical prostatectomy using a pure laparoscopic technique vs a robotically assisted technique with regard to preoperative, intraoperative or postoperative parameters.

MATERIALS AND METHODS

From May 2003 to May 2005 we reviewed 133 consecutive patients who underwent extraperitoneal robot assisted radical prostatectomy and compared them to 133 match-paired patients treated with a pure extraperitoneal laparoscopic approach. The patients were matched for age, body mass index, previous abdominopelvic surgery, American Society of Anesthesiologists score, prostate specific antigen, pathological stage and Gleason score. Preoperative, perioperative and postoperative data, including complications and oncological results, were analyzed between the 2 groups.

RESULTS

The 2 groups were statistically similar with respect to age, body mass index, prostate specific antigen, Gleason score and clinical stage. No statistical differences were observed regarding operative time, estimated blood loss, hospital stay or bladder catheterization between the 2 groups. The transfusion rate was 3% and 9.8% for laparoscopic radical prostatectomy and robotic assisted laparoscopic prostatectomy, respectively (p = 0.03). Conversion from robotic assisted laparoscopic prostatectomy to laparoscopic radical prostatectomy was necessary in 4 cases. None of the laparoscopic radical prostatectomy cases required conversion to an open technique. The percentage of major complications was 6.0% vs 6.8%, respectively (p = 0.80). The overall positive margin rate was 15.8% vs 19.5% for laparoscopic radical prostatectomy and robotic assisted laparoscopic prostatectomy, respectively (p = 0.43).

CONCLUSIONS

We demonstrated that the laparoscopic extraperitoneal radical prostatectomy is equivalent to the robotic assisted laparoscopic prostatectomy in the hands of skilled laparoscopic urological surgeons at our institution with respect to operative time, operative blood loss, hospital stay, length of bladder catheterization and positive margin rate.

Authors+Show Affiliations

Department of Urology, Institut Montsouris, Paris, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17561160

Citation

Rozet, François, et al. "A Direct Comparison of Robotic Assisted Versus Pure Laparoscopic Radical Prostatectomy: a Single Institution Experience." The Journal of Urology, vol. 178, no. 2, 2007, pp. 478-82.
Rozet F, Jaffe J, Braud G, et al. A direct comparison of robotic assisted versus pure laparoscopic radical prostatectomy: a single institution experience. J Urol. 2007;178(2):478-82.
Rozet, F., Jaffe, J., Braud, G., Harmon, J., Cathelineau, X., Barret, E., & Vallancien, G. (2007). A direct comparison of robotic assisted versus pure laparoscopic radical prostatectomy: a single institution experience. The Journal of Urology, 178(2), 478-82.
Rozet F, et al. A Direct Comparison of Robotic Assisted Versus Pure Laparoscopic Radical Prostatectomy: a Single Institution Experience. J Urol. 2007;178(2):478-82. PubMed PMID: 17561160.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A direct comparison of robotic assisted versus pure laparoscopic radical prostatectomy: a single institution experience. AU - Rozet,François, AU - Jaffe,Jamison, AU - Braud,Guillaume, AU - Harmon,Justin, AU - Cathelineau,Xavier, AU - Barret,Eric, AU - Vallancien,Guy, Y1 - 2007/06/11/ PY - 2006/12/04/received PY - 2007/6/15/pubmed PY - 2007/8/23/medline PY - 2007/6/15/entrez SP - 478 EP - 82 JF - The Journal of urology JO - J Urol VL - 178 IS - 2 N2 - PURPOSE: We compared a single institution experience with radical prostatectomy using a pure laparoscopic technique vs a robotically assisted technique with regard to preoperative, intraoperative or postoperative parameters. MATERIALS AND METHODS: From May 2003 to May 2005 we reviewed 133 consecutive patients who underwent extraperitoneal robot assisted radical prostatectomy and compared them to 133 match-paired patients treated with a pure extraperitoneal laparoscopic approach. The patients were matched for age, body mass index, previous abdominopelvic surgery, American Society of Anesthesiologists score, prostate specific antigen, pathological stage and Gleason score. Preoperative, perioperative and postoperative data, including complications and oncological results, were analyzed between the 2 groups. RESULTS: The 2 groups were statistically similar with respect to age, body mass index, prostate specific antigen, Gleason score and clinical stage. No statistical differences were observed regarding operative time, estimated blood loss, hospital stay or bladder catheterization between the 2 groups. The transfusion rate was 3% and 9.8% for laparoscopic radical prostatectomy and robotic assisted laparoscopic prostatectomy, respectively (p = 0.03). Conversion from robotic assisted laparoscopic prostatectomy to laparoscopic radical prostatectomy was necessary in 4 cases. None of the laparoscopic radical prostatectomy cases required conversion to an open technique. The percentage of major complications was 6.0% vs 6.8%, respectively (p = 0.80). The overall positive margin rate was 15.8% vs 19.5% for laparoscopic radical prostatectomy and robotic assisted laparoscopic prostatectomy, respectively (p = 0.43). CONCLUSIONS: We demonstrated that the laparoscopic extraperitoneal radical prostatectomy is equivalent to the robotic assisted laparoscopic prostatectomy in the hands of skilled laparoscopic urological surgeons at our institution with respect to operative time, operative blood loss, hospital stay, length of bladder catheterization and positive margin rate. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/17561160/A_direct_comparison_of_robotic_assisted_versus_pure_laparoscopic_radical_prostatectomy:_a_single_institution_experience_ DB - PRIME DP - Unbound Medicine ER -