Robotic radical prostatectomy: outcomes of 500 cases

Abstract

blood loss (EBL) and complications, and after RALP were hospital stay, catheter time, pathology, PSA level, return of continence and potency. RESULTSThe mean (range) duration of RALP was 130 (51-330) min; all procedures were successful, with no intraoperative transfusions or deaths. The mean EBL was 10-300 mL; 97% of patients were discharged home on the first day after RALP with a mean haematocrit of 36%. The mean duration of catheterization was 6.9 (5-21) days. The positive margin rate was 9.4% for all patients; i.e. 2.5% for T2 tumours, 23% for T3a and 53% for T4. The overall biochemical recurrence free (PSA level < 0.1 ng/mL) survival was 95% at mean follow-up of 9.7 months. There was complete continence at 3 and 6 months in 89% and 95% of patients, respectively. At 1 year 78% of patients were potent (with or without the use of oral medications), 15%were not yet able to sustain erections capable of intercourse, and another 7% still required injection therapy. CONCLUSIONRALP is a safe, feasible and minimally invasive alternative for treating prostate cancer. Our initial experience with the procedure shows promising short-term outcomes.

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

“…Also, technical feasibility and safety were both significantly influenced by the surgical team and center experience. The problem with the learning curve needs to be resolved before a definite [16][17][18]. The use of robot techniques is new in the field of thyroid surgery.…”

Laparoscopic Extraperitoneal Radical Prostatectomy: Impact of the Learning Curve on Perioperative Outcomes and Margin Status

“…Pure or robotic-assisted laparoscopic radical prostatectomy is becoming the preferred surgical approach in many centers around the world. 2–8 The main advantages compared with ORP include the excellent magnified view of the pelvic anatomy, a shorter catheterization time, and low intra- and postoperative blood loss and transfusion rates. 2–8 …”

Retropubic, Laparoscopic, and Robot-Assisted Radical Prostatectomy: A Critical Review of Outcomes Reported by High-Volume Centers

“…35,48,50,51,53,58,63,64 Direct comparisons for urinary continence rates between different prostatectomy series are difficult because of variations in definitions, data collection methods, and length of follow-up. In this review, the definition of continence that was adopted to collect the data from the studies was the use of no absorbent pads or the use of one pad only for security.…”