Comparison of robot assistant radical prostatectomy by transperitoneal versus extraperitoneal approach
10.3760/cma.j.issn.1000-6702.2016.03.002
- VernacularTitle:经腹膜外途径与经腹途径机器人辅助腹腔镜下根治性前列腺切除术的比较分析
- Author:
Dan XIA
;
Ping WANG
;
Jie QIN
;
Taile JING
;
Sunyi YE
;
Shuo WANG
- Publication Type:Journal Article
- Keywords:
Robotics;
Prostate cancer;
Prostatectomy
- From:
Chinese Journal of Urology
2016;37(3):165-168
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and oncological results of robot-assisted laparoscopic radical prostatectomy performed between transperitoneal and extraperitoneal approach.Methods 79 patients underwent transperitoneal robot-assisted laparoscopic radical prostatectomy (Tp-RLRP).The other 86 consecutive patients went through extraperitoneal robot-assisted laparoscopic radical prostatectomy (Ep-RLRP).Results All procedures were performed successfully without conversion.Total procedure time for Ep-RLRP was shorter than it for Tp-RLRP[(218.1 ± 54.4) min vs.(180.2 ± 47.1) min,P ＜ 0.001].Docking time for Ep-RLRP was longer than Tp-RLRP [(21.5 ± 7.1) min vs.(19.5 ± 5.7) min,P ＜ 0.001] Blood lost of Tp-RLRP was lesser than Ep-RLRP[(122.4 ± 71.0) ml vs.(140.4 ± 90.7) ml,P ＜ 0.05].There were no significant differences between two groups in terms of bowel function recovery,drainage tube reserve,foley catheter duration,etc.There were 19 patients (24.1％)and 4 patients (4.7％)were suffered lymph leakage in two groups separately,P ＜ 0.001.One delayed vesiclurethra hemorrhagic patient and one mesenteric torsion patient were happened in Tp-RLRP group.There were no significant differences between two groups in terms of surgical margin,biochemical recurrence and urine continence.Conclusion Compared to Tp-RLRP,Ep-RLRP can provide similar short-term oncological control,recovery of postoperative urine continence,shorter operation time and lower complication rates.
