Propensity score-matched comparison of the clinical efficacy between two approaches of robot-assisted radical prostatectomy
10.3969/j.issn.1009-8291.2024.07.008
- VernacularTitle:倾向性评分队列研究两种不同入路机器人辅助根治性前列腺切除术的临床效果
- Author:
Zhenhao LI
1
;
Zhaowei ZHU
1
;
Pin ZHAO
1
;
Jin TAO
1
;
Peng LI
1
;
Yafeng FAN
1
;
Yunlong LIU
1
;
Shuanbao YU
1
;
Xuepei ZHANG
1
Author Information
1. Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
robot-assisted;
prostate cancer;
radical prostatectomy;
posterior-anterior-lateral;
robot-assisted radical prostatectomy;
early urinary control;
propensity score matching
- From:
Journal of Modern Urology
2024;29(7):602-606
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To compare the clinical efficacy and postoperative urinary control between robot-assisted radical prostatectomy (RARP) with posterior-anterior-lateral (PAL) approach and with anterior (conventional) approach using propensity score matching method. 【Methods】 Clinical data of 145 patients undergoing RARP in our hospital during Jan.2020 and Jan.2023 were retrospectively analyzed, including 122 patients in the conventional group and 23 in the PAL group.The patients were matched by 2∶1 propensity score matching, including 46 cases in the conventional group and 23 in the PAL group.The perioperative outcomes were compared of prostate cancer (PCa) patients undergoing RARP surgery with different approaches before and after matching, including operation time, intraoperative blood loss, pelvic drainage time, hospitalization days, preservation of neurovascular bundles (NVB) during surgery, deep dorsal venous complex (DVC) suture, reconstruction of bladder neck, and postoperative urinary control recovery rate after extubation immediately, and 1, 3, and 6 months after surgery. 【Results】 There were no significant differences in baseline data, operation time, bleeding volume, pelvic drainage time, hospitalization days, preservation of NVB, and reconstruction of bladder neck between the two groups (P>0.05).The PAL group used less DVC suture during surgery (30.4% vs. 100%, P<0.001), but had better urinary control recovery rate immediately after extubation, 1, 3 and 6 months after surgery (P<0.05). 【Conclusion】 RARP with PAL approach is as safe and effective as the conventional approach, and has significant advantages in early postoperative urinary control.
