A Randomized Controlled Study of Robot-Assisted versus 3D Laparoscopic Radical Prostatectomy in Patients with Carcinoma Prostate.

IF 1.8 Q3 UROLOGY & NEPHROLOGY Advances in Urology Pub Date : 2023-01-01 DOI:10.1155/2023/4666116
Ketan Kumar Kapoor, Anup Kumar
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引用次数: 1

Abstract

Materials and methods: A prospective randomized comparative study was performed from 1st January 2020 to 30th June 2021. All patients included were diagnosed with localized/locally advanced ca prostate. 60 patients fulfilling the inclusion and exclusion criteria were randomized into 2 groups. Groups A and B included patients who underwent robot-assisted radical prostatectomy and 3D laparoscopic transperitoneal radical prostatectomy, respectively. Various demographic, intraoperative, postoperative, and follow-up parameters were collected. Outcomes were evaluated in the form of the trifecta (continence, potency, and BCR-free status) and pentafecta rates (trifecta with no perioperative complications and negative surgical margins) in between the two groups.

Results: The mean operative time in Group A was 137.83 mins ± 17.27 compared to 148.20 mins ± 26.16 in Group B. Trifecta rates in Group A and Group B were 43.3%, 63.3%, and 76.6% and 40%, 53.3%, and 70% at 1, 3, and 6 months. Pentafecta rates in Group A and Group B were 36.6%, 53.3%, and 70% and 33.3%, 40%, and 53.3% at 1, 3, and 6 months. Complication rates were 10% in Group A and 13.3% in Group B, respectively. Only one patient in our study (Group B) had a positive surgical margin.

Conclusions: We conclude from our comparative study, that both robot-assisted and 3D laparoscopic transperitoneal radical prostatectomy are feasible and efficacious treatment modalities for achieving acceptable trifecta and pentafecta rates in managing ca prostate with earlier continence and shorter urethrovesical anastomosis time in the robotic arm.

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机器人辅助与3D腹腔镜根治性前列腺切除术在前列腺癌患者中的随机对照研究。
材料和方法:从2020年1月1日至2021年6月30日进行了一项前瞻性随机比较研究。所有患者均被诊断为局限性/局部晚期前列腺癌。60例符合纳入和排除标准的患者随机分为两组。A组和B组分别为接受机器人辅助根治性前列腺切除术和3D腹腔镜经腹腔根治性前列腺切除术的患者。收集了各种人口统计学、术中、术后和随访参数。结果以两组之间的三联性(尿失禁、效力和无bcr状态)和五联性发生率(无围手术期并发症和阴性手术切缘的三联性)的形式进行评估。结果:A组平均手术时间为137.83 min±17.27 min, B组平均手术时间为148.20 min±26.16 min。1、3、6个月时,A组和B组三甲率分别为43.3%、63.3%、76.6%和40%、53.3%、70%。1、3、6个月时,A组和B组的Pentafecta发生率分别为36.6%、53.3%、70%和33.3%、40%、53.3%。A组并发症发生率为10%,B组并发症发生率为13.3%。在我们的研究中,只有1例患者(B组)手术切缘阳性。结论:我们通过对比研究得出结论,机器人辅助和3D腹腔镜经腹腔根治性前列腺切除术都是可行和有效的治疗方式,可以实现可接受的三连和五连率,治疗前列腺癌,早期失禁,机械臂内尿道膀胱吻合术时间短。
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来源期刊
Advances in Urology
Advances in Urology UROLOGY & NEPHROLOGY-
CiteScore
2.90
自引率
0.00%
发文量
17
审稿时长
15 weeks
期刊介绍: Advances in Urology is a peer-reviewed, open access journal that publishes state-of-the-art reviews and original research papers of wide interest in all fields of urology. The journal strives to provide publication of important manuscripts to the widest possible audience worldwide, without the constraints of expensive, hard-to-access, traditional bound journals. Advances in Urology is designed to improve publication access of both well-established urologic scientists and less well-established writers, by allowing interested scientists worldwide to participate fully.
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