TY  - JOUR
TI  - The Comparison of Conventional and Retzius-Sparing Robot-Assisted
Radical Prostatectomy for Clinical, Pathological, and Oncological
Outcomes
AB  - Objective: This study aimed to assess and compare the conventional and Retzius-sparing robot-assisted radical prostatectomy (cRARP and RsRARP)
in term of perioperative clinical, pathological, and oncological outcomes.
Materials and Methods: This study included 238 consecutive male patients who underwent RARP between May 2008 and November 2020.
RARP operations were performed by a single-surgeon. Patients were divided into groups according to the surgical approach and were statistically
compared in terms of perioperative clinical, final pathological, and oncological outcomes.
Results: The mean age of patients was 64±7 years. cRARP was performed in 134 (56.3%) patients, whereas RsRARP in 104 (43.7%). The frequency of
patients with the American Society of Anesthesiologists Class-2 score was higher in the RsRARP group (p<0.001). The median surgery duration was
300 (270-360) min. The median surgery duration was shorter in RsRARP group (290 vs. 330 minute) (p<0.001). No difference was found between
the groups in terms of estimated blood loss and postoperative complication rates (p=0.112 and p=0.182, respectively). No difference was found
between the groups when they were compared for surgical margin positivity (p=0.453). Although not statistically significant, the frequency of
surgical margin positivity with pT3a/pT3b disease was higher in patients who underwent cRARP (p=0.412 and p=0.261, respectively). At a median
follow-up of 13 (6-36) months, no difference was found between the groups in terms of biochemical recurrence at months -3,-6,-9,-12,-18,-24,
and -30, respectively (p>0.05, for each).
Conclusion: RsRARP allows a safe operation with a shorter surgical time and similar surgical margin positivity, oncological outcomes, and
complication rates compared to cRARP.
AU  - Karsiyakali, Nejdet
AU  - ÖZVEREN, Bora
AU  - Türkeri, Levent
AU  - özgen, mahir bülent
AU  - Durak, Haydar
AU  - sağlıcan, yeşim
DO  - 10.4274/jus.galenos.2021.2021.0048
PY  - 2022
JO  - Journal of Urological Surgery
VL  - 9
IS  - 1
SN  - 2148-9580
SP  - 1
EP  - 8
DB  - TRDizin
UR  - http://search/yayin/detay/516055
ER  -