Is previous experience in laparoscopic necessary to perform robotic radical prostatectomy? A comparative study with robotic and the classic open procedure in patients with prostate cancer

Acta Cirúrgica Brasileira
Felipe Monnerat Lott, Luciano Alves Favorito

Abstract

To assess comparative results of robot-assisted radical laparoscopic prostatectomy (RARP) performed by surgeons without any experience in laparoscopic prostatectomy and the open procedure performed by surgeons with large experience. We analyzed 84 patients (50 subjected to robotic surgery) from June 2012 to September 2013. Data were prospectively collected in a customized database. Two surgeons carried out all the RARP cases. These two surgeons and six more performed the open cases. The perioperative outcomes between the two groups were analyzed with a minimum followup of 12 months. The corporal mass index (BMI) was higher in the open group (p=0.001). There was more operatve time, less hospitalization and blood loss, better trifecta and pentafecta and earlier continence (p=0.045) in the robotic group (p=0.001). There was no difference in positive surgical margins but with greater extraprostatic extension in the open group (p=0.002). Robot-assisted radical prostatectomy is a safe procedure even in the hands of surgeons with no previous experience. Besides this, better operative outcomes can be reached with this modern approach.

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Citations

Dec 15, 2015·Journal of Robotic Surgery·Raphael RochaVipul Patel
Jan 25, 2018·World Journal of Urology·Abbas BasiriHamidreza Shemshaki
Feb 25, 2018·Journal of Robotic Surgery·Kannan Sridharan, Gowri Sivaramakrishnan
Jul 21, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Lucas Medeiros BurttetBrasil Silva

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