Retzius-sparing Robot-assisted Laparoscopic Radical Prostatectomy - combining the best of retropubic and perineal approache - Abstract

OBJECTIVE: To compare the early perioperative, oncological and continence outcomes of RS-RALP with conventional-RALP (C-RALP).

MATERIALS AND METHODS: Data from 50 patients who underwent RS-RALP with at least 6 months of follow-up were prospectively collected and compared with a database of patients who underwent C-RALP. Propensity score matching was performed using seven pre-operative parameters, and post-operative parameters were compared between the groups.

RESULTS: A total of 581 post RALP patients were evaluated in this study. Although pre-operative parameters were different before propensity score matching, these were resolved after matching. There were no significant differences in mean length of hospital stay, estimated blood loss, intra and post-operative complication rates, pathological stage of disease, Gleason scores, tumour volumes and positive surgical margins between C-RALP and RS-RALP respectively. Console time was shorter for RS-RALP. Recovery of early continence (0 pads used) at 4 weeks post-RALP were significantly better in RS-RALP than C-RALP.

CONCLUSION: Our results suggested that RS-RALP, although technically more demanding was as feasible and effective as C-RALP, and also led to a shorter operative time and improved recovery of early continence. It is also reproducible and achievable in all cases.

Written by:
Lim SK, Kim KH, Shin TY, Han WK, Chung BH, Hong SJ, Choi YD, Rha KH.   Are you the author?
Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, South Korea; Department of Urology, Changi General Hospital, Singapore.

Reference: BJU Int. 2014 Feb 25. Epub ahead of print.
doi: 10.1111/bju.12705


PubMed Abstract
PMID: 24612011

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