Results of robotic radical prostatectomy in the hands of surgeons without previous laparoscopic radical prostatectomy experience

Abdullah Erdem CANDA; Ali Fuat ATMACA; Ziya AKBULUT; Erem ASİL; Metin KILIÇ; Abidin Egemen İŞGÖREN; Mevlana Derya BALBAY

Makale detayları

Results of robotic radical prostatectomy in the hands of surgeons without previous laparoscopic radical prostatectomy experience

Yazarlar:

Abdullah Erdem CANDA | Ali Fuat ATMACA | Ziya AKBULUT | Erem ASİL | Metin KILIÇ | Abidin Egemen İŞGÖREN | Mevlana Derya BALBAY

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue Sup.1, pp.1338-1346

Belge Tipi:

Makale

Yayın Tarihi:

11/2011

Belge Dili:

Türkçe

Document ID (Org No.):

2000754399

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Anahtar kelimeler:

Özet:

 

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.

 

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.

Makale detayları

Results of robotic radical prostatectomy in the hands of surgeons without previous laparoscopic radical prostatectomy experience

Yazarlar:

Abdullah Erdem CANDA | Ali Fuat ATMACA | Ziya AKBULUT | Erem ASİL | Metin KILIÇ | Abidin Egemen İŞGÖREN | Mevlana Derya BALBAY

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue Sup.1, pp.1338-1346

Belge Tipi:

Makale

Yayın Tarihi:

11/2011

Belge Dili:

Türkçe

Document ID (Org No.):

2000754399

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Key words: Robot assisted

laparoscopic

radical prostatectomy

prostate cancer

outcomes

Sayı

Makale detayları

Results of robotic radical prostatectomy in the hands of surgeons without previous laparoscopic radical prostatectomy experience

Yazarlar: Abdullah Erdem CANDA | Ali Fuat ATMACA | Ziya AKBULUT | Erem ASİL | Metin KILIÇ | Abidin Egemen İŞGÖREN | Mevlana Derya BALBAY

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2012 Vol.42 Issue Sup.1, pp.1338-1346

Belge Tipi: Makale

Yayın Tarihi: 11/2011

Belge Dili: Türkçe

Document ID (Org No.): 2000754399

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Key words: Robot assisted

laparoscopic

radical prostatectomy

prostate cancer

outcomes

Sayı

Yazarlar:

Abdullah Erdem CANDA | Ali Fuat ATMACA | Ziya AKBULUT | Erem ASİL | Metin KILIÇ | Abidin Egemen İŞGÖREN | Mevlana Derya BALBAY

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue Sup.1, pp.1338-1346

Belge Tipi:

Makale

Yayın Tarihi:

11/2011

Belge Dili:

Türkçe

Document ID (Org No.):

2000754399

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144