Tags

Type your tag names separated by a space and hit enter

Early experience of robotic assisted laparoscopic radical prostatectomy.
J Med Assoc Thai. 2008 Mar; 91(3):377-82.JM

Abstract

INTRODUCTION

Quality of life after laparoscopic radical prostatectomy has been a discussed issue among patients. Robotic Assisted Laparoscopic Radical Prostatectomy (RALRP) has been shown to provide the best surgical outcomes in terms of potency and continence. The program of robotic prostatectomy was started at Siriraj Hospital. Early result of the author's experience was evaluated.

OBJECTIVE

To evaluate the feasibility of Robotic Assisted Laparoscopic Radical Prostatectomy done at Siriraj Hospital.

MATERIAL AND METHOD

From March 2007 to November 2007, 34 patients (Group 1) with localized prostate cancer underwent Robotic Assisted Laparoscopic Radical Prostatectomy (RALRP). Perioperative data was evaluated and compared to those of 34 patients (group 2) who underwent Laparoscopic Radical Prostatectomy (LRP) during the same period by the same surgeon.

RESULTS

There were no demographic differences between the two groups. Catheterization time was significantly shortened in the RALRP group (p < 0.05). There was no major complication in the RALRP group, one LRP patient suffered bilateral ureteric injuries and required bilateral reimplantation. In pathological T2 patients of the last 17 consecutive cases, positive surgical margin rate was similar (14%) in both groups.

CONCLUSION

The author early experience has shown that RALRP is feasible and safe. Oncological outcome can be improved with more experience and long term follow up is needed to evaluate functional outcome including potency rate and incontinence rate.

Authors+Show Affiliations

Division of Urology, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. sisri@mahidol.ac.th

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18575292

Citation

Srinualnad, Sittiporn. "Early Experience of Robotic Assisted Laparoscopic Radical Prostatectomy." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 91, no. 3, 2008, pp. 377-82.
Srinualnad S. Early experience of robotic assisted laparoscopic radical prostatectomy. J Med Assoc Thai. 2008;91(3):377-82.
Srinualnad, S. (2008). Early experience of robotic assisted laparoscopic radical prostatectomy. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 91(3), 377-82.
Srinualnad S. Early Experience of Robotic Assisted Laparoscopic Radical Prostatectomy. J Med Assoc Thai. 2008;91(3):377-82. PubMed PMID: 18575292.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early experience of robotic assisted laparoscopic radical prostatectomy. A1 - Srinualnad,Sittiporn, PY - 2008/6/26/pubmed PY - 2008/8/16/medline PY - 2008/6/26/entrez SP - 377 EP - 82 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 91 IS - 3 N2 - INTRODUCTION: Quality of life after laparoscopic radical prostatectomy has been a discussed issue among patients. Robotic Assisted Laparoscopic Radical Prostatectomy (RALRP) has been shown to provide the best surgical outcomes in terms of potency and continence. The program of robotic prostatectomy was started at Siriraj Hospital. Early result of the author's experience was evaluated. OBJECTIVE: To evaluate the feasibility of Robotic Assisted Laparoscopic Radical Prostatectomy done at Siriraj Hospital. MATERIAL AND METHOD: From March 2007 to November 2007, 34 patients (Group 1) with localized prostate cancer underwent Robotic Assisted Laparoscopic Radical Prostatectomy (RALRP). Perioperative data was evaluated and compared to those of 34 patients (group 2) who underwent Laparoscopic Radical Prostatectomy (LRP) during the same period by the same surgeon. RESULTS: There were no demographic differences between the two groups. Catheterization time was significantly shortened in the RALRP group (p < 0.05). There was no major complication in the RALRP group, one LRP patient suffered bilateral ureteric injuries and required bilateral reimplantation. In pathological T2 patients of the last 17 consecutive cases, positive surgical margin rate was similar (14%) in both groups. CONCLUSION: The author early experience has shown that RALRP is feasible and safe. Oncological outcome can be improved with more experience and long term follow up is needed to evaluate functional outcome including potency rate and incontinence rate. SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/18575292/Early_experience_of_robotic_assisted_laparoscopic_radical_prostatectomy_ L2 - https://medlineplus.gov/prostatecancer.html DB - PRIME DP - Unbound Medicine ER -