Single-port robot-assisted laparoscopic radical prostatectomy through different approaches: initial experience and outcomes
10.3760/cma.j.cn112330-20200909-00657
- VernacularTitle:多种路径机器人辅助单孔腹腔镜根治性前列腺切除术的初步疗效
- Author:
Wei DU
1
;
Weidong XU
;
Yue YANG
;
Yifan CHANG
;
Xiaojun LU
;
Yutian XIAO
;
Xiaomin ZHANG
;
Shi YAN
;
Ye WANG
;
Zhiyong LIU
;
Shancheng REN
Author Information
1. 上海长海医院泌尿外科 200433
- From:
Chinese Journal of Urology
2020;41(11):815-819
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the feasibility and effectiveness of sing-port robot-assisted laparoscopic radical prostatectomy(sp-RALP) through different approaches.Methods:The data of 115 patients who underwent sp-RALP through different approaches from May 2018 to June 2020 were retrospectively reviewed. In our study, 92 cases through extraperitoneal approach, 10 through transperineal approach and 13 though transvesical approach. Preoperative, intraoperative and early postoperative outcomes after various approaches were collected and analyzed. The mean age was 67(52-84) years, mean preoperative body mass index was 24.44(19.52-32.33) kg/m 2. Patients were graded as cT 1-3aN 0M 0 with no signs of regional lymph node invasion or distal metastasis. The median preoperative PSA was 9.77(6.54, 15.32) ng/ml. Results:All 115 sp-RALP were successfully completed with no conversion to open surgery or additional ports being placed. The mean operative time was 91.8(40-200)min, with 88.0(40-200)min for extraperitoneal approach, 132.5 (90-190)min for transperineal approach and 87.3(60-150)min for transvesical approach. The mean estimated blood loss was 85.5 (45-400)ml, with 77.6(50-200)ml for extraperitoneal approach, 178.0(80-400)ml for transperineal approach and 70.4 (45-150)ml for transvesical approach. Of the 115 patients, 60.9% (70/115)were
