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임상적으로 진행된 전립선암에서의 로봇 근치적 전립선적출술의 결과

Other Titles
 Outcomes of Robotic Prostatectomy for Treating Clinically Advanced Prostate Cancer 
 함원식  ;  박성열  ;  나군호  ;  최영득 
 KOREAN JOURNAL OF UROLOGY, Vol.49(4) : 325-329, 2008 
Journal Title
Issue Date
Prostatic neoplasms ; Open radical prostatectomy ; Robotic radical prostatectomy
PURPOSE: Robotic prostatectomy(RP) has been widely performed for treating clinically localized prostate cancer(PC), whereas for treating clinically advanced PC, prostatectomy is usually done by open methods. We evaluated the outcomes of RP for treating patients with clinically advanced PC as compared with the outcomes of RP for treating patients with clinically localized PC. MATERIALS AND METHODS: We performed RP in 273 patients with the da Vinci(R) robot system through a transperitoneal approach. Ninety-two patients had clinically advanced PC(Group I) and 181 patients had clinically localized PC(Group II). We compared the perioperative variables and early surgical outcomes between the two groups. RESULTS: The two groups did not show significant differences for their mean age, but the mean preoperative prostate-specific antigen(PSA) levels and biopsy Gleason scores were significantly higher in Group I. There were no significant differences in the mean operation time(Group I: 214.9+/-45.1 min, II: 217.8+/-49.0 min, p=0.709), the estimated blood loss(Group I: 382.8+/-281.5ml, II: 387.5+/-369.5ml, p=0.934), the duration of bladder catheterization (Group I: 12.0+/-2.8 days, II: 12.9+/-4.6 days, p=0.232), the hospital stay(Group I: 5.9+/-3.5 days, II: 5.0+/-2.4 days, p=0.154), and the time to start the postoperative regular diet(Group I: 2.5+/-1.5 days, II: 2.0+/-0.6 days, p=0.089) between the two groups. There was a significant difference in lymph node invasion(p<0.001), but no difference in the positive surgical margin(p= 0.180). Two out of the 4 intraoperative rectal injuries occurred in the clinically advanced PC group, but they were closed primarily without specific problems, except for 1 case. CONCLUSIONS: Our results suggest that RP may be performed safely for patients with clinically advanced PC
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1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Park, Sung Yul(박성열)
Choi, Young Deuk(최영득) ORCID logo https://orcid.org/0000-0002-8545-5797
Ham, Won Sik(함원식) ORCID logo https://orcid.org/0000-0003-2246-8838
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