Transperitoneal versus extraperitoneal robot-assisted laparoscopic radical prostatectomy: A prospective single surgeon randomized comparative study

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dc.contributor.authorAkand, Murat
dc.contributor.authorErdogru, Tibet
dc.contributor.authorAvci, Egemen
dc.contributor.authorAtes, Mutlu
dc.date.accessioned2020-03-26T19:07:46Z
dc.date.available2020-03-26T19:07:46Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectivesTo compare operative, pathological, and functional results of transperitoneal and extraperitoneal robot-assisted laparoscopic radical prostatectomy carried out by a single surgeon. MethodsAfter having experience with 32 transperitoneal laparoscopic radical prostatectomies, 317 extraperitoneal laparoscopic radical prostatectomies, 30 transperitoneal robot-assisted laparoscopic radical prostatectomies and 10 extraperitoneal robot-assisted laparoscopic radical prostatectomies, 120 patients with prostate cancer were enrolled in this prospective randomized study and underwent either transperitoneal or extraperitoneal robot-assisted laparoscopic radical prostatectomy. The main outcome parameters between the two study groups were compared. ResultsNo significant difference was found for age, body mass index, preoperative prostate-specific antigen, clinical and pathological stage, Gleason score on biopsy and prostatectomy specimen, tumor volume, positive surgical margin, and lymph node status. Transperitoneal robot-assisted laparoscopic radical prostatectomy had shorter trocar insertion time (16.0 vs 25.9min for transperitoneal robot-assisted laparoscopic radical prostatectomy and extraperitoneal robot-assisted laparoscopic radical prostatectomy, P<0.001), whereas extraperitoneal robot-assisted laparoscopic radical prostatectomy had shorter console time (101.5 vs 118.3min, respectively, P<0.001). Total operation time and total anesthesia time were found to be shorter in extraperitoneal robot-assisted laparoscopic radical prostatectomy, without statistical significance (200.9 vs 193.2min; 221.8 vs 213.3min, respectively). Estimated blood loss was found to be lower for extraperitoneal robot-assisted laparoscopic radical prostatectomy (P=0.001). Catheterization and hospitalization times were observed to be shorter in extraperitoneal robot-assisted laparoscopic radical prostatectomy (7.3 vs 5.8days and 3.1 vs 2.3days for transperitoneal robot-assisted laparoscopic radical prostatectomy and extraperitoneal robot-assisted laparoscopic radical prostatectomy, respectively, P<0.05). The time to oral diet was significantly shorter in extraperitoneal robot-assisted laparoscopic radical prostatectomy (32.3 vs 20.1h, P=0.031). Functional outcomes (continence and erection) and complication rates were similar in both groups. ConclusionsExtraperitoneal robot-assisted laparoscopic radical prostatectomy seems to be a good alternative to transperitoneal robot-assisted laparoscopic radical prostatectomy with similar operative, pathological and functional results. As the surgical field remains away from the bowel, postoperative return to normal diet and early discharge can be favored.en_US
dc.identifier.doi10.1111/iju.12854en_US
dc.identifier.endpage921en_US
dc.identifier.issn0919-8172en_US
dc.identifier.issn1442-2042en_US
dc.identifier.issue10en_US
dc.identifier.pmid26212891en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage916en_US
dc.identifier.urihttps://dx.doi.org/10.1111/iju.12854
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32708
dc.identifier.volume22en_US
dc.identifier.wosWOS:000362456800006en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWILEY-BLACKWELLen_US
dc.relation.ispartofINTERNATIONAL JOURNAL OF UROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectextraperitonealen_US
dc.subjectprostate canceren_US
dc.subjectradical prostatectomyen_US
dc.subjectrobot-assisted laparoscopic radical prostatectomyen_US
dc.subjectrobotic surgeryen_US
dc.subjecttransperitonealen_US
dc.titleTransperitoneal versus extraperitoneal robot-assisted laparoscopic radical prostatectomy: A prospective single surgeon randomized comparative studyen_US
dc.typeArticleen_US

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