Robot-Assisted Laparoscopic Radical Prostatectomy: Oncologic and Functional Results of 184 Cases

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• 作者：Alex ; er Mottrie ; Peter Van Migem ; Geert De Naeyer ; Peter Schatteman ; Paul Carpentier ; Etienne Fonteyne
• 关键词：Continence ; Erectile function ; Laparoscopy ; Prostatectomy ; Prostate cancer ; Robotics
• 刊名：European Urology
• 出版年：2007
• 出版时间：September 2007
• 年：2007
• 卷：52
• 期：3
• 页码：746-751
• 全文大小：116 K

文摘

To evaluate the initial functional and oncologic results of 184 robot-assisted radical prostatectomies performed at our hospital.

Methods

A retrospective study was made of the first 184 consecutive robot-assisted radical prostatectomies performed at our hospital between February 2003 and December 2005. The procedures were performed by two surgeons who used the da Vinci robot with three robot arms. A transperitoneal approach was used in all patients. All patients had clinically organ-confined prostate cancer (≤cT2c). The median follow-up was 6 mo.

Results

A positive surgical margin was found in 29 of the 184 patients (mean: 15.7 % ). The percentage positive surgical margins for the organ-confined (pT2) and non–organ-confined prostate cancers (pT3) were 2.5 % and 38 % , respectively. Ninety-five percent of patients were completely continent or wore one safety liner. Forty-three percent of the continent patients achieved complete continence within 28 d. Eighty-one percent of the patients who were younger than 60 yr and received a nerve-sparing procedure were potent and able to perform sexual intercourse. This percentage dropped to 51 % in patients older than 60 yr. No major complications were encountered.

Conclusions

The functional and oncologic results of this minimally invasive procedure seem very promising. Longer follow-up of the data and larger prospective studies are necessary to confirm these promising results.