An open radical prostatectomy approach that mimics the technique of robot-assisted prostatectomy: a comparison of perioperative outcomes
Yükleniyor...
Dosyalar
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Urol & Nephrol Res Ctr-Unrc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: To report on an ascending radical retropubic prostatectomy (RRP) technique and determine whether this technique has better perioperative, oncological and functional outcomes than the standard RRP technique applied in our clinic. Materials and Methods: The perioperative and functional outcomes of the 246 patients that underwent standard RRP (N = 150) or modified RRP (N = 96) were evaluated, retrospectively. In the modified RRP technique the dorsal vascular complex (DVC) was controlled at first. Thereafter, the bladder neck was incised at the prostate-vesical junction. After seminal vesicles and vasa were exposed, posterior dissection was continued until to the apex. Finally, the urethra was divided. Results: The mean volume of estimated blood loss (EBL) was significantly longer in the standard RRP group than in the modified RRP group (610 vs. 210 ml, respectively; P = .001). The mean operative time (OT) was significantly less in the modified RRP group (177 vs. 134 min, respectively; P = .003), as were the transfusion rate TR (P = .041). With regard to the rate of postoperative complications, a statistically significant difference was observed between the two groups (P = .014). Continence rates after 3 and 12 months postoperatively were 98.95% and 98.95 % in the modified RRP group, and 97.33% and 98.66% in the standard RRP group, respectively (P = .83). Conclusion: We observed that the EBL, TR and OT were significantly lower when we applied the modified RRP technique to patients. This modified technique might be applicable for institutions as an alternative procedure for the standard RRP technique.
Açıklama
Anahtar Kelimeler
Perioperative Outcome, Prostate Cancer, Surgical Technique, Radical Prostatectomy
Kaynak
Urology Journal
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
16
Sayı
2
Künye
Ozkaptan, O., Balaban, M., Sevinc, C., & Karadeniz, T. (2019). An open radical prostatectomy approach that mimics the technique of robot-assisted prostatectomy: a comparison of perioperative outcomes.
