Propensity-matched analysis comparing the peri- and post-operative outcomes of side-docking versus standard lithotomy docking for robot-assisted radical prostatectomy
- Author:
Patrick H. Tuliao
1
;
Enrique Ina S. Lorenzo
1
,
2
;
Julius C. Cajucom
1
Author Information
- Publication Type:Journal Article
- Keywords: Robotic radical prostatectomy; Side-docking
- MeSH: Prostatic Neoplasms
- From: Philippine Journal of Urology 2023;33(2):33-37
- CountryPhilippines
- Language:English
-
Abstract:
Introduction:Limited access to the perineum and limited operating room space are just some of the limitations of the standard lithotomy docking for robot-assisted radical prostatectomy (RARP-LD). The side-docking technique (RARP-SD) may address these problems.
Methods:Thirty cases of robot-assisted radical prostatectomy were matched to 120 cases of RARP-LD cases by propensity scoring using age, body mass index (BMI), clinical T stage, biopsy Gleason score, and ultrasound prostate volume. Operative and docking time, complications were used to compare peri-operative and safety outcomes.
Results:Evaluation of 30 RARP-LD and 30 RARP-SD cases was done after propensity matching. Patient age, BMI, clinical T stage, biopsy Gleason score, and prostate volume were similar between the two groups (p>0.050). The mean docking time of RARP-SD is shorter than that of RARP-LD cases (7.56 vs. 4.12, p <0.001), but this did not translate to a shorter operative time. There were less peri-operative complications in the RARP-SD cases.
Conclusions:RARP-SD has a docking time and produces less complication than RARP-LD. - Full text:169-Full Research Text-453-1-10-20231128.pdf