Tags

Type your tag names separated by a space and hit enter

[Retropubic, laparoscopic and robot-assisted total prostatectomies: comparison of postoperative course and histological and functional results based on a series of 86 prostatectomies].
Prog Urol. 2008 Jan; 18(1):60-7.PU

Abstract

OBJECTIVE

Compare three surgical approach procedures of total prostatectomy (retropubic, transperitoneal laparoscopic and robot-assisted laparoscopic), about technical, oncological and functional results.

METHODS

Eighty-six patients had a total prostatectomy for localized cancer, in a unique center, performed by two expert surgeons, on a 16-months-period. Twenty nine had a retropubic, 23 a transperitoneal laparoscopic and 34 a robot-assisted (Da Vinci) surgical approach. Retrospectively, operative time, blood loss, per- and postoperative complications, duration of catheterization, length of hospital stay, in each group had been compared. The positive margin rates, the PSA levels at one and six months postoperative had been compared. The continence has also been evaluated at six months.

RESULTS

The three groups are comparable even if the median age is significatively lower in the retropubic group (p=0.018). Duration of catheter (p<2.2 x 10(-16)), blood loss (p<3.12 x 10(-5)) and operative times support significatively the laparscopic approaches, clearer the conventional than the robot-assisted one. No significative difference has been shown about positive margin rates, even if it's higher in the robot-assisted group (p=0.37). Finally, the continence rate is quite higher in the laparoscopic groups without statistic significativity (76 % retropubic versus 96.8 % laparoscopic and 85.3 % robot-assisted).

CONCLUSIONS

The conventional laparoscopic and robot-assisted approaches seem to present technical advantages. Nevertheless, pathologic results are shader: the positive margin rate in the robot-assisted group is higher, in particular regarding to pT2. These results are concordant with the available datas of the literature.

Authors+Show Affiliations

Service d'urologie et transplantation rénale, GHU, Pitié-Salpêtrière, 47-83, boulevard-de-l'Hôpital, 75651 Paris cedex 13, France. xavierdurand-urovdg@tiscali.fr <xavierdurand-urovdg@tiscali.fr>No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

18342158

Citation

Durand, X, et al. "[Retropubic, Laparoscopic and Robot-assisted Total Prostatectomies: Comparison of Postoperative Course and Histological and Functional Results Based On a Series of 86 Prostatectomies]." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 18, no. 1, 2008, pp. 60-7.
Durand X, Vaessen C, Bitker MO, et al. [Retropubic, laparoscopic and robot-assisted total prostatectomies: comparison of postoperative course and histological and functional results based on a series of 86 prostatectomies]. Prog Urol. 2008;18(1):60-7.
Durand, X., Vaessen, C., Bitker, M. O., & Richard, F. (2008). [Retropubic, laparoscopic and robot-assisted total prostatectomies: comparison of postoperative course and histological and functional results based on a series of 86 prostatectomies]. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 18(1), 60-7. https://doi.org/10.1016/j.purol.2007.10.013
Durand X, et al. [Retropubic, Laparoscopic and Robot-assisted Total Prostatectomies: Comparison of Postoperative Course and Histological and Functional Results Based On a Series of 86 Prostatectomies]. Prog Urol. 2008;18(1):60-7. PubMed PMID: 18342158.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Retropubic, laparoscopic and robot-assisted total prostatectomies: comparison of postoperative course and histological and functional results based on a series of 86 prostatectomies]. AU - Durand,X, AU - Vaessen,C, AU - Bitker,M-O, AU - Richard,F, Y1 - 2008/03/04/ PY - 2006/06/01/received PY - 2007/10/01/accepted PY - 2008/3/18/pubmed PY - 2008/8/7/medline PY - 2008/3/18/entrez SP - 60 EP - 7 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog Urol VL - 18 IS - 1 N2 - OBJECTIVE: Compare three surgical approach procedures of total prostatectomy (retropubic, transperitoneal laparoscopic and robot-assisted laparoscopic), about technical, oncological and functional results. METHODS: Eighty-six patients had a total prostatectomy for localized cancer, in a unique center, performed by two expert surgeons, on a 16-months-period. Twenty nine had a retropubic, 23 a transperitoneal laparoscopic and 34 a robot-assisted (Da Vinci) surgical approach. Retrospectively, operative time, blood loss, per- and postoperative complications, duration of catheterization, length of hospital stay, in each group had been compared. The positive margin rates, the PSA levels at one and six months postoperative had been compared. The continence has also been evaluated at six months. RESULTS: The three groups are comparable even if the median age is significatively lower in the retropubic group (p=0.018). Duration of catheter (p<2.2 x 10(-16)), blood loss (p<3.12 x 10(-5)) and operative times support significatively the laparscopic approaches, clearer the conventional than the robot-assisted one. No significative difference has been shown about positive margin rates, even if it's higher in the robot-assisted group (p=0.37). Finally, the continence rate is quite higher in the laparoscopic groups without statistic significativity (76 % retropubic versus 96.8 % laparoscopic and 85.3 % robot-assisted). CONCLUSIONS: The conventional laparoscopic and robot-assisted approaches seem to present technical advantages. Nevertheless, pathologic results are shader: the positive margin rate in the robot-assisted group is higher, in particular regarding to pT2. These results are concordant with the available datas of the literature. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/18342158/[Retropubic_laparoscopic_and_robot_assisted_total_prostatectomies:_comparison_of_postoperative_course_and_histological_and_functional_results_based_on_a_series_of_86_prostatectomies]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1166-7087(08)00007-9 DB - PRIME DP - Unbound Medicine ER -