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Does robot-assisted laparoscopic radical prostatectomy enable to obtain adequate oncological and functional outcomes during the learning curve? From the Korean experience.
Asian J Androl. 2009 Mar; 11(2):167-75.AJ

Abstract

To estimate the short-term results of robot-assisted laparoscopic radical prostatectomy (RALRP) during the learning curve, in terms of surgical, oncological and functional outcomes, we conducted a prospective survey on RALRP. From July 2007, a single surgeon performed 63 robotic prostatectomies using the same operative technique. Perioperative data, including pathological and early functional results of the patient, were collected prospectively and analyzed. Along with the accumulation of the cases, the total operative time, setup time, console time and blood loss were significantly decreased. No major complication was present in any patient. Transfusion was needed in six patients; all of them were within the initial 15 cases. The positive surgical margin rate was 9.8% (5/51) in pT2 disease. The most frequent location of positive margin in this stage was the lateral aspect (60%), but in pT3 disease multiple margins were the most frequent (41.7%). Overall, 53 (84.1%) patients had totally continent status and the median time to continence was 6.56 weeks. Among 17 patients who maintained preoperative sexual activity (Sexual Health Inventory for Men > or = 17), stage below pT2, followed up for > 6 months with minimally one side of neurovascular bundle preservation procedure, 12 (70.6%) were capable of intercourse postoperatively, and the mean time for sexual intercourse after operation was 5.7 months. In this series, robotic prostatectomy was a feasible and reproducible technique, with a short learning curve and low perioperative complication rate. Even during the initial phase of the learning curve, satisfactory results were obtained with regard to functional and oncological outcome.

Authors+Show Affiliations

Department of Urology, MIS & Robotic Urologic Surgery Center, Korea University School of Medicine, Seoul 136705, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19151734

Citation

Ko, Young Hwii, et al. "Does Robot-assisted Laparoscopic Radical Prostatectomy Enable to Obtain Adequate Oncological and Functional Outcomes During the Learning Curve? From the Korean Experience." Asian Journal of Andrology, vol. 11, no. 2, 2009, pp. 167-75.
Ko YH, Ban JH, Kang SH, et al. Does robot-assisted laparoscopic radical prostatectomy enable to obtain adequate oncological and functional outcomes during the learning curve? From the Korean experience. Asian J Androl. 2009;11(2):167-75.
Ko, Y. H., Ban, J. H., Kang, S. H., Park, H. S., Lee, J. G., Yoon, D. K., Kim, J. J., Cheon, J., & Patel, V. R. (2009). Does robot-assisted laparoscopic radical prostatectomy enable to obtain adequate oncological and functional outcomes during the learning curve? From the Korean experience. Asian Journal of Andrology, 11(2), 167-75. https://doi.org/10.1038/aja.2008.52
Ko YH, et al. Does Robot-assisted Laparoscopic Radical Prostatectomy Enable to Obtain Adequate Oncological and Functional Outcomes During the Learning Curve? From the Korean Experience. Asian J Androl. 2009;11(2):167-75. PubMed PMID: 19151734.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does robot-assisted laparoscopic radical prostatectomy enable to obtain adequate oncological and functional outcomes during the learning curve? From the Korean experience. AU - Ko,Young Hwii, AU - Ban,Jeong Hyeon, AU - Kang,Seok Ho, AU - Park,Hong Seok, AU - Lee,Jeong Gu, AU - Yoon,Duck Ki, AU - Kim,Je Jong, AU - Cheon,Jun, AU - Patel,Vipul R, Y1 - 2009/01/19/ PY - 2009/1/20/entrez PY - 2009/1/20/pubmed PY - 2009/8/28/medline SP - 167 EP - 75 JF - Asian journal of andrology JO - Asian J Androl VL - 11 IS - 2 N2 - To estimate the short-term results of robot-assisted laparoscopic radical prostatectomy (RALRP) during the learning curve, in terms of surgical, oncological and functional outcomes, we conducted a prospective survey on RALRP. From July 2007, a single surgeon performed 63 robotic prostatectomies using the same operative technique. Perioperative data, including pathological and early functional results of the patient, were collected prospectively and analyzed. Along with the accumulation of the cases, the total operative time, setup time, console time and blood loss were significantly decreased. No major complication was present in any patient. Transfusion was needed in six patients; all of them were within the initial 15 cases. The positive surgical margin rate was 9.8% (5/51) in pT2 disease. The most frequent location of positive margin in this stage was the lateral aspect (60%), but in pT3 disease multiple margins were the most frequent (41.7%). Overall, 53 (84.1%) patients had totally continent status and the median time to continence was 6.56 weeks. Among 17 patients who maintained preoperative sexual activity (Sexual Health Inventory for Men > or = 17), stage below pT2, followed up for > 6 months with minimally one side of neurovascular bundle preservation procedure, 12 (70.6%) were capable of intercourse postoperatively, and the mean time for sexual intercourse after operation was 5.7 months. In this series, robotic prostatectomy was a feasible and reproducible technique, with a short learning curve and low perioperative complication rate. Even during the initial phase of the learning curve, satisfactory results were obtained with regard to functional and oncological outcome. SN - 1008-682X UR - https://www.unboundmedicine.com/medline/citation/19151734/Does_robot_assisted_laparoscopic_radical_prostatectomy_enable_to_obtain_adequate_oncological_and_functional_outcomes_during_the_learning_curve_From_the_Korean_experience_ L2 - http://www.asiaandro.com/Abstract.asp?doi=10.1038/aja.2008.52 DB - PRIME DP - Unbound Medicine ER -