Can Robot-assisted Radical Prostatectomy Improve Functional Outcomes Compared to Laparoscopic Radical Prostatectomy? Experience at a Laparoscopic Center Article Swipe
Cheng-Hsin Lu
,
Chun‐Hsien Wu
,
Yu-Chi Chen
,
Chung‐Hsien Chen
,
Richard C. Wu
,
Yeh-Hsi Lee
,
Ching-Yu Huang
,
Tsan-Jung Yu
,
Victor C. Lin
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.4103/uros.uros_134_18
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.4103/uros.uros_134_18
Purpose: This study compared the perioperative parameters and early functional outcomes between robot-assisted radical prostatectomy (RARP) and laparoscopic radical prostatectomy (LRP) at a urological laparoscopic center. Materials and Methods: Between January 2006 and May 2017, 242 patients underwent endoscopic radical prostatectomy (LRP for 208 cases; RARP for 34 cases). Patients who were followed up > 12 months were included in the study. Propensity score-matched groups of patients who underwent LRP or RARP were created based on age, body mass index, history of diabetes mellitus, history of smoking, preoperative prostate-specific antigen level, clinical T status, risk group classification, American Society of Anesthesiologists score, and whether the nerve-sparing technique was performed. Results: There were no significant differences in the blood transfusion rate, surgical margin status, length of stay, catheterization time, or days to oral intake for both procedures. Although RARP is more time-consuming, it provided significant benefits regarding the yield of dissected lymph nodes (19 vs. 9; P < 0.001) and early urinary continence recovery (i.e., continence rates after 1 month [56.2% vs. 21.9%; P = 0.006] and after 3 months [84.4% vs. 53.1%; P = 0.001]). No difference was observed for early complications, although the RARP group had more late complications. Conclusion: Our experience indicated that RARP could provide less blood loss and faster recovery of urinary continence and yield more dissected lymph nodes compared to LRP. Further studies are needed to determine whether the long-term clinical, functional, and oncological outcomes are superior.
Related Topics
Concepts
Medicine
Laparoscopic radical prostatectomy
Prostatectomy
Urology
General surgery
Prostate cancer
Internal medicine
Cancer
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4103/uros.uros_134_18
- OA Status
- diamond
- Cited By
- 6
- References
- 28
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2950030273
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2950030273Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.4103/uros.uros_134_18Digital Object Identifier
- Title
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Can Robot-assisted Radical Prostatectomy Improve Functional Outcomes Compared to Laparoscopic Radical Prostatectomy? Experience at a Laparoscopic CenterWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2019Year of publication
- Publication date
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2019-01-01Full publication date if available
- Authors
-
Cheng-Hsin Lu, Chun‐Hsien Wu, Yu-Chi Chen, Chung‐Hsien Chen, Richard C. Wu, Yeh-Hsi Lee, Ching-Yu Huang, Tsan-Jung Yu, Victor C. LinList of authors in order
- Landing page
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https://doi.org/10.4103/uros.uros_134_18Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
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https://doi.org/10.4103/uros.uros_134_18Direct OA link when available
- Concepts
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Medicine, Laparoscopic radical prostatectomy, Prostatectomy, Urology, General surgery, Prostate cancer, Internal medicine, CancerTop concepts (fields/topics) attached by OpenAlex
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6Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2023: 4, 2022: 1Per-year citation counts (last 5 years)
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28Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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