Pd43-07 Upstaging on Final Pathology in Patients Eligible for Active Surveillance With Subdivision by Age

Abstract

characteristics consisted of age, Charlson Comorbidity Index, surgical approach (retropubic vs. robot-assisted vs. laparoscopic vs. perineal), status of lymph node dissection (LND) and nerve-sparing procedure, hospital district, hospital region and hospital volume. We examined the rate of blood transfusion, intra-and postoperative complications, inhospital mortality, length of stay (LOS) and hospital charges using validated methodology.RESULTS: Overall, 25,333 men underwent RP. Of these, 16,372 (64.6%) men were treated by retropubic, 5,657 (22.3%) by robot-assisted, 2,730 (10.8%) by laparoscopic and 574 (2.3%) by perineal RP. The rate of LND and nerve-sparing procedure was 84.1 and 52.8%, respectively. The rate of autologous and allogeneic blood transfusion was 0.3 and 8.8%, respectively. Intraoperative complications were recorded in 2.7%. Specifically, rectal laceration, ureteral injury and nerve-or vessel injury were recorded in 1.5, 0.7 and 1.1%, respectively. Postoperative complications were recorded in 26.7%. Specifically, 2.7% of patients suffered from cardial, 1.1% from respiratory, 4.0% from wound, 1.6% from vascular, 8.6% from genitourinary, 7.5% from miscellaneous medical and 13.2% from miscellanoeous surgical complications. In-hospital mortality was 0.2%. Mean LOS was 10.8 days. Mean hospital charges were 7,409 Euro. Results from multivariable logistic regression analyses will be presented at the congress.CONCLUSIONS: Institutional results should ideally be compared to nationally representative data. In 2012, RP in Germany was performed in 33% in a minimally-invasive fashion, the most temporal overall postoperative complication rate was 27%.