An open radical prostatectomy approach that mimics the technique of robot-assisted prostatectomy: a comparison of perioperative outcomes

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dc.authoridCüneyd Sevinç / 0000-0002-6321-5143
dc.authoridTahir Karadeniz / 0000-0002-2738-2788
dc.authorscopusidCüneyd Sevinç / 56915806300
dc.authorscopusidTahir Karadeniz / 8510371600
dc.authorwosidCüneyd Sevinç / AAG-1502-2021
dc.authorwosidTahir Karadeniz / FGH-4602-2022
dc.contributor.authorÖzkaptan, Orkunt
dc.contributor.authorBalaban, Muhsin
dc.contributor.authorSevinç, Cüneyd
dc.contributor.authorKaradeniz, Tahir
dc.date.accessioned2020-08-30T20:06:54Z
dc.date.available2020-08-30T20:06:54Z
dc.date.issued2019
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose: 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.en_US
dc.identifier.citationOzkaptan, 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.en_US
dc.identifier.endpage173en_US
dc.identifier.issn1735-1308en_US
dc.identifier.issn1735-546Xen_US
dc.identifier.issue2en_US
dc.identifier.pmid30882157en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage168en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12713/651
dc.identifier.volume16en_US
dc.identifier.wosWOS:000469306400012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorSevinç, Cüneyden_US
dc.institutionauthorKaradeniz, Tahiren_US
dc.language.isoenen_US
dc.publisherUrol & Nephrol Res Ctr-Unrcen_US
dc.relation.ispartofUrology Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPerioperative Outcomeen_US
dc.subjectProstate Canceren_US
dc.subjectSurgical Techniqueen_US
dc.subjectRadical Prostatectomyen_US
dc.titleAn open radical prostatectomy approach that mimics the technique of robot-assisted prostatectomy: a comparison of perioperative outcomesen_US
dc.typeArticleen_US

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