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Perioperative and short-term outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy stratified by gland size

DC FieldValueLanguage
dc.contributor.author나군호-
dc.contributor.author알리압델-
dc.contributor.author장기돈-
dc.contributor.author정병하-
dc.contributor.author최영득-
dc.date.accessioned2017-11-02T08:38:19Z-
dc.date.available2017-11-02T08:38:19Z-
dc.date.issued2017-
dc.identifier.issn1464-4096-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/154702-
dc.description.abstractOBJECTIVE: To investigate the effect of preoperative prostate volume (PV) on the perioperative, continence and early oncological outcomes among patients treated with Retzius-sparing robot-assisted laparoscopic radical prostatectomy (RS-RALP). PATIENTS AND METHODS: This is a retrospective analysis of 294 patients with organ-confined prostate cancer treated with RS-RALP in a high-volume centre from November 2012 to February 2015. Patients were divided into three groups based on their transrectal ultrasonography estimated PV as follows: group 1, <40 mL (231 patients); group 2, 40-60 mL (47); group 3, >60 mL (16). Perioperative, oncological, and continence outcomes were compared between the three groups. RESULTS: The median [interquartile range (IQR)] PV for each group was; 26.1 (22-31) mL, 45.9 (41-50) mL, and 70 (68-85) mL. Blood loss was higher in group 3 compared to groups 2 and 1; at a median (IQR) of 475 (312-575) mL, 200 (150-400) mL, and 250 (150-400) mL, respectively (P = 0.001). The intraoperative transfusion rate was higher in group 3 patients (P = 0.004), while the complication rate did not differ (P = 0.05). The console time was slightly higher but was not statistically significant in group 3 compared to groups 2 and 1; at a mean (sd) of 100 (35) min, 92 (34.4) min, and 93 (24.8) min, respectively (P = 0.70). Biochemical recurrence and the continence rate did not differ between the three groups (P = 0.89 and P = 0.25, respectively). CONCLUSION: RS-RALP is oncologically and functionally equivalent for all prostate sizes but technically demanding for larger prostates. We therefore recommend that surgeons initiate their RS-RALP technique with smaller prostates.-
dc.description.statementOfResponsibilityrestriction-
dc.publisherBlackwell Science-
dc.relation.isPartOfBJU International-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHHumans-
dc.subject.MESHLaparoscopy*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOrgan Size-
dc.subject.MESHProstate/pathology*-
dc.subject.MESHProstatectomy/methods*-
dc.subject.MESHProstatic Neoplasms/pathology*-
dc.subject.MESHProstatic Neoplasms/surgery*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRobotic Surgical Procedures/methods*-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.titlePerioperative and short-term outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy stratified by gland size-
dc.typeArticle-
dc.publisher.locationEngland-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Urology-
dc.contributor.googleauthorGlen D.R Santok-
dc.contributor.googleauthorAli Abdel Raheem-
dc.contributor.googleauthorLawrence H. C. Kim-
dc.contributor.googleauthorKidon Chang-
dc.contributor.googleauthorTrenton G. H. Lum-
dc.contributor.googleauthorByung H. Chung-
dc.contributor.googleauthorYoung D. Choi-
dc.contributor.googleauthorKoon H. Rha-
dc.identifier.doi10.1111/bju.13632-
dc.contributor.localIdA04601-
dc.contributor.localIdA05025-
dc.contributor.localIdA03607-
dc.contributor.localIdA04111-
dc.contributor.localIdA01227-
dc.relation.journalcodeJ00340-
dc.relation.journalsince1999~-
dc.identifier.pmid27539553-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/bju.13632/abstract-
dc.subject.keywordRetzius-sparing-
dc.subject.keywordlaparoscopy-
dc.subject.keywordprostate cancer-
dc.subject.keywordprostate volume-
dc.subject.keywordradical prostatectomy-
dc.contributor.alternativeNameRha, Koon Ho-
dc.contributor.alternativeNameRaheem, Ali Abdel-
dc.contributor.alternativeNameChang, Kidon-
dc.contributor.alternativeNameChung, Byung Ha-
dc.contributor.alternativeNameChoi, Young Deuk-
dc.contributor.affiliatedAuthorRaheem, Ali Abdel-
dc.contributor.affiliatedAuthorChang, Kidon-
dc.contributor.affiliatedAuthorChung, Byung Ha-
dc.contributor.affiliatedAuthorChoi, Young Deuk-
dc.contributor.affiliatedAuthorRha, Koon Ho-
dc.citation.titleBJU International-
dc.citation.volume119-
dc.citation.number1-
dc.citation.startPage135-
dc.citation.endPage141-
dc.identifier.bibliographicCitationBJU International, Vol.119(1) : 135-141, 2017-
dc.date.modified2017-11-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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