- Turkish Journal of Medical Sciences
- Vol: 42 Issue: Sup.1
- Results of robotic radical prostatectomy in the hands of surgeons without previous laparoscopic radi...
Results of robotic radical prostatectomy in the hands of surgeons without previous laparoscopic radical prostatectomy experience
Authors : Abdullah Erdem Canda, Ali Fuat Atmaca, Ziya Akbulut, Erem Asil, Metin Kiliç, Abidin Egemen Işgören, Mevlana Derya Balbay
Pages : 1338-1346
View : 22 | Download : 8
Publication Date : 9999-12-31
Article Type : Makaleler
Abstract :We report our initial experience related with robot-assisted laparoscopic radical prostatectomy (RALRP) performed by a urologic surgeon without previous laparoscopic radical prostatectomy (LRP) experience. Materials and methods: The data of the first 70 patients who underwent RALRP between February 2009 and February 2010 are presented. Results: Mean console time was 214 ± 55.5 min with pelvic lymph node dissection (LND) in 14 patients. Mean intraoperative blood loss was 215 ± 227.3 cc. Fourteen patients had positive surgical margins: pT3 (n = 12) and pT2 (n = 2). Lodge drains and urethral catheters were removed at a mean of 2.9 ± 2.7 and 11.6 ± 5.9 days, respectively. Forty-three of 58 patients (82.9%) had urinary control at the 3-month follow-up. Regarding the patients with preoperative IIEF scores >= 19 (mean: 47.6 ± 17.0, n = 46), mean IIEF score was 45.3 ± 9.9 (n = 11) at the 9-month follow-up. Regarding patients with preoperative IIEF scores of 13-18 (mean: 16.3 ± 1.1, n = 6), mean IIEF score was 17.0 ± 3.5 (n = 3) at the 9-month follow-up. One patient who could not tolerate CO2 insufflation was switched to open surgery due to deep acidosis development. Rectal injury occurred in 1 patient and was repaired robotically without postoperative problems. Conclusion: Previous LRP experience is not essential in order to perform RALRP, which can be learned and performed easily. Additionally, short-term surgical results and pathological outcomes of RALRP are excellent and satisfactory, respectively.Keywords : Key words: Robot assisted, laparoscopic, radical prostatectomy, prostate cancer, outcomes