Robot-assisted radical prostatectomy in the Middle East: A report on the perioperative outcomes from a tertiary care centre in Lebanon.

Arab Journal of Urology
Muhieddine LabbanAlbert El Hajj

Abstract

To report on the surgical, oncological and early functional outcomes of robot-assisted radical prostatectomy (RARP) at our tertiary care centre, as there is a scarcity of reports on outcomes of robotic surgery from the Middle East. We reviewed the electronic health records for patients undergoing RARP between 2013 and 2019 at the American University of Beirut Medical Center. We collected patients' demographics and preoperative oncological factors including prostate-specific antigen (PSA), clinical oncological stage, and World Health Organization (WHO) grade. PSA persistence, biochemical recurrence (BCR) and positive surgical margin (PSM) were reported. Complications were categorised by Clavien-Dindo grade. Moreover, the postoperative oncological outcomes including the rates of adjuvant and salvage androgen-deprivation therapy (ADT) and external-beam radiation therapy (EBRT), chemotherapy, and metastasis were reported. Additionally continence and potency results were retrieved. For the designated period, 250 patients underwent RARP of which 182 (72.8%) underwent lymph node dissection. The median (interquartile range) anaesthesia time was 330 (285-371) min and the estimated blood loss was 200 (200-300) mL. The overall complicatio...Continue Reading

References

Oct 12, 2004·The Urologic Clinics of North America·Ashok K HemalMani Menon
Nov 14, 2006·European Urology·Mani MenonJames O Peabody
Oct 8, 2008·Journal of Endourology·Vipul R PatelSrinivas Samavedi
Mar 1, 2012·Arab Journal of Urology·Danny M Rabah, Osman Zin Al-Abdin
Jun 1, 2014·American Journal of Robotic Surgery·Jay ShahDinesh Vyas
Sep 5, 2017·Investigative and Clinical Urology·Hannah Warren, Prokar Dasgupta
Jul 10, 2019·Arab Journal of Urology·Raed A AzharSaad Aldousari

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