186 223

Cited 2 times in

Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea

DC FieldValueLanguage
dc.contributor.author나군호-
dc.date.accessioned2019-05-29T05:23:12Z-
dc.date.available2019-05-29T05:23:12Z-
dc.date.issued2019-
dc.identifier.issn2287-8882-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/169568-
dc.description.abstractBackground: This study compared the surgical, functional, and oncologic outcomes of robot-assisted laparoscopic radical prostatectomy (RALP), laparoscopic radical prostatectomy (LRP), and retropubic radical prostatectomy (RRP) in Korean men. Methods: The study population included 864 patients who underwent radical prostatectomy for prostate cancer in the departments of urology of five tertiary hospitals between 2010 and 2011. RALP, LRP, and RRP perioperative, oncological, and functional outcomes as well as complications were assessed. Medical cost data were analyzed for 682 of 864 patients. Results: No significant differences were found among the three groups regarding the length of stay, biochemical recurrence, complications, and metastasis. The RALP group had a significantly higher rate of pelvic lymph node dissection (64.6% vs. 35.3% or 53.3%, P value <0.0001) and bilateral nerve-sparing procedures (15.7% vs. 10.0% or 8.9%, P value <0.0001) and less blood loss (median 250 mL vs. 300 mL or 700 mL, P value <0.0001) than the LRP and RRP groups. The 12-month continence recovery rate was higher in the RALP group (92.1%) than in the LRP (86.5%) and RRP (84.4%) groups (P value <0.0001). Medical costs for RALP were approximately twofold to threefold higher than those for LRP or RRP. Conclusions: Our findings suggest that surgical and functional outcomes are better with robot-assisted surgery than with laparoscopic or open surgery in terms of estimated blood loss and urinary continence; however, no differences were found among groups in terms of biochemical recurrence and the rate of complications.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherAsian Pacific Prostate Society-
dc.relation.isPartOfPROSTATE INTERNATIONAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleClinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨의학교실)-
dc.contributor.googleauthorJi Eun Yun-
dc.contributor.googleauthorNa Rae Lee-
dc.contributor.googleauthorCheol Kwak-
dc.contributor.googleauthorKoon Ho Rha-
dc.contributor.googleauthorSeong Il Seo-
dc.contributor.googleauthorSung-Hoo Hong-
dc.contributor.googleauthorYoung Goo Lee-
dc.contributor.googleauthorDong Ah Park-
dc.contributor.googleauthorChoung Soo Kim-
dc.contributor.googleauthorSeon Heui Lee-
dc.identifier.doi10.1016/j.prnil.2018.04.004-
dc.contributor.localIdA01227-
dc.relation.journalcodeJ02559-
dc.identifier.eissn2287-903X-
dc.identifier.pmid30937294-
dc.subject.keywordASA-
dc.subject.keywordAmerican Society of Anesthesiologists-
dc.subject.keywordBMI-
dc.subject.keywordbody mass index-
dc.subject.keywordEBL-
dc.subject.keywordestimated blood loss-
dc.subject.keywordLRP-
dc.subject.keywordlaparoscopic radical prostatectomy-
dc.subject.keywordLaparoscopic prostatectomy-
dc.subject.keywordPLND-
dc.subject.keywordpelvic lymph node dissection-
dc.subject.keywordPSA-
dc.subject.keywordprostate-specific antigen-
dc.subject.keywordProstate cancer-
dc.subject.keywordRALP-
dc.subject.keywordrobot-assisted laparoscopic radical prostatectomy-
dc.subject.keywordRRP-
dc.subject.keywordretropubic radical prostatectomy-
dc.subject.keywordRadical prostatectomy-
dc.subject.keywordRobotic prostatectomy-
dc.subject.keywordRobotic surgery-
dc.contributor.alternativeNameRha, Koon Ho-
dc.contributor.affiliatedAuthor나군호-
dc.citation.volume7-
dc.citation.number1-
dc.citation.startPage19-
dc.citation.endPage24-
dc.identifier.bibliographicCitationPROSTATE INTERNATIONAL, Vol.7(1) : 19-24, 2019-
dc.identifier.rimsid63030-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.