Switching from Endoscopic Extraperitoneal Radical Prostatectomy to Robot-Assisted Laparoscopic Prostatectomy: Comparing Outcomes and Complications

Abstract

Objective: Endoscopic extraperitoneal radical prostatectomy (EERPE) and robot-assisted laparoscopic prostatectomy (RALP) are minimally invasive surgical techniques to treat localized prostate cancer. We report the outcome and complications of these two techniques conducted by one individual surgeon. Patients and Methods: 86 patients underwent EERPE between January 2008 and June 2011, and 100 patients underwent RALP between August 2011 and October 2012. All surgeries were performed by one single surgeon. Results: The patients of the EERPE and RALP groups had similar clinical characteristics in PSA, prostate volume and D'Amico classification, and were significantly different in their age and BMI as well as in the number of prior surgeries. RALP surgeries were significantly slower (183 vs. 157 min) but also involved lower blood loss (147 vs. 245 ml). Pathological stages and positive surgical margins were similar in both groups. Complications were assessed by the Clavien-Dindo classification. 6 patients in the EERPE group and 3 patients of the RALP group suffered major complications (IIIb-IV). Conclusion: Altogether our results indicate that the learning curve for RALP was short after experience with EERPE. We hypothesize that this is more a result of the surgical experience of the surgeon with the EERPE than on the robotic technique.

Comparison Study Between Laparoscopic Radical Prostatectomy versus Robotic Radical Prostatectomy in Patient with TUR-P History

“…The previous surgery such as TURP had incidentally detected occult adenocarcinoma prostate with the incidence ranging 1.4-5.2%. However, since many factors can affect this condition, the incidence was varied around the world [23,24].…”

“…The study of Wagenhoffer et al [23] looked at the comparison between the results and complications of robotic-assisted prostatectomy (RALP) and endoscopic extraperitoneal radical prostatectomy (EERPE). A total of 100 patients underwent RALP procedures from August 2011 to October 2012 and 86 patients who approved the EERPE procedure from January 2008 to June 2011.…”

Wound infiltration or transversus abdominis plane block after laparoscopic radical prostatectomy: a randomized clinical trial

“…Laparoscopic radical prostatectomy (LRP) is an established minimally invasive procedure for the treatment of prostate cancer. It is associated with a shorter hospital stay and less postoperative pain than the open approach [ 1 , 2 ]. Although laparoscopy is minimally invasive, it is associated with postoperative pain primarily at the trocar and extraction wound sites, with the highest degree of pain occurring on the first postoperative day [ 3 ].…”

Pain Control after Laparoscopic Radical Prostatectomy: Comparison between Unilateral Transversus Abdominis Plane Block and Wound Infiltration

“…Few studies emphasized the safety of the laparoscopic approach and its benefits, which include shorter hospital stay, reduced blood loss, and postoperative pain compared to the open counterpart [1][2][3].…”