900 Prognostic Significance of Positive Surgical Margins After Radical Prostatectomy for Prostate Cancer

Schiavina, Riccardo; Birgatti, F.; Guidi, M.; Pernetti, Remigio; Salama, A.; Zukerman, Ziv; Diazzi, Davide; Borghesi, Marco; Vagnoni, Valerio; Rocca, Carlo Della; Manferrari, Fabio; Concetti, Sergio; Brunocilla, Eugenio; Bertaccini, A.; Martorana, Giuseppe

doi:10.1016/s1569-9056(11)60884-1

Cited by 1 publication

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“…The reason was less duration is better handling of prostatic apex in relatively blood less field. Our duration is more comparing to various international studies, Serel et al, via extraperitoneal approach showed total duration of 4.3 hours while Schiavina et al via 18 , trans-peritoneal approach showed almost same duration. The reason of this difference of more than an hour can be because of use of time saving equipment like the use of endo-staplers for gut anastomosis and as well judicious use of other time saving techniques which were not easily available We documented the complications as per clavien Dindo system 22 .…”

Section: Discussionsupporting

confidence: 52%

“…The other major surgical complication which was seen in group 2 of our study was major wound dehiscence, seen in 7 patients (14.8% of the total 47 patients) as compared to nil in the extra-peritoneal group (p=0.004), it required secondary surgical procedures in 3 cases. Schiavina et al 18 , also mentioned 11.8% of their patients to have wound dehiscence who had transperitoneal cystectomy. The global incidence of wound infection (SSI) after radical cystectomy has been reported to range from 2.9-46% 24 .…”

Section: Discussionmentioning

confidence: 93%

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Comparison of Extraperitoneal and Transperitoneal Radical Cystoprostatectomy in Terms of First 30 Days Outcomes

Sajjad

Zia

Sabir

et al. 2021

PAFMJ

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Objective: To compare the first 30-day outcomes of Trans-peritoneal and Extra-peritoneal Radical cysto-prostatectomy. Study Design: Quasi-experimental study. Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi, from Mar 2015 to Mar 2019.Methodology: A total of 100 patients who underwent Radical cystoprostatectomy were observed in two groups either by extra or trans-peritoneal approach. Patients diagnosed with carcinoma urinary bladder (both muscle and non-muscle invasive) vetted through multidisciplinary meeting, with or without neo-adjuvant chemotherapy were included. Patients undergoing salvage cystectomy or any previous open abdomino-pelvic surgery were excluded. The standard techniques were used for both approaches. Variables under study were recorded for first 30-day-followup period. Results: The mean age was 59.9 ± 7.231 years (range=34-80). In extra-peritoneal group the mean duration of surgery was 5.6 ± 1.16 hours comparing to 7.2 ± 1.34 hours in the trans-peritoneal group. Statistically significant trend was also noted in the favour of extra-peritoneal group for stay in Intensive care in post-operative period (3.00 ± 1.19 days/4.77 ± 1.20, p<0.001) as well total stay in the hospital (6.06 ± 2.8 days/ 11.74 ± 4.17, p<0.001). Overall comparison of total number of complications as per Clavien-Dindo system in both groups was insignificant (p=0.136), however a significant trend in favour of extraperitoneal group was noted with respect to major wound dehiscence as well rate of blood transfusion (p<0.001). Conclusion: Extra-peritoneal approach showed a favourable trend in terms of operative time and early recovery after radical cysto-prostatectomy.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 93%