Radical prostatectomy for prostatic adenocarcinoma: a matched comparison of open retropubic and robot‐assisted techniques
OBJECTIVE To assess the perioperative complications and early oncological results in a comparative study matching open radical retropubic (RRP) and robot‐assisted radical prostatectomy (RARP) groups. PATIENTS AND METHODS From August 2002 to December 2005 we identified 294 patients undergoing RARP fo...
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| Veröffentlicht in: | BJU international 2009-02, Vol.103 (4), p.448-453 |
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| creator | Krambeck, Amy E. DiMarco, David S. Rangel, Laureano J. Bergstralh, Eric J. Myers, Robert P. Blute, Michael L. Gettman, Matthew T. |
| description | OBJECTIVE
To assess the perioperative complications and early oncological results in a comparative study matching open radical retropubic (RRP) and robot‐assisted radical prostatectomy (RARP) groups.
PATIENTS AND METHODS
From August 2002 to December 2005 we identified 294 patients undergoing RARP for clinically localized prostate cancer. A comparison RRP group of 588 patients from the same period was matched 2:1 for surgical year, age, preoperative prostate‐specific antigen level, clinical stage and biopsy Gleason grade. Perioperative complications were compared. Patients completed a standardized quality‐of‐life questionnaire. Pathological features were assessed and Kaplan‐Meier estimates of biochemical progression‐free survival (PFS) were compared.
RESULTS
There was no significant difference in overall perioperative complications between the RARP and RRP groups (8.0% vs 4.8%, P = 0.064). Wound herniation was more common after RARP (1.0% vs none, P = 0.038), and development of bladder neck contracture was more common after RRP (1.2% vs 4.6%; P |
| doi_str_mv | 10.1111/j.1464-410X.2008.08012.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66877537</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>66877537</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4632-53313fd40b05be3393e8d0f92ca151d9cf7680568caac493fe8ef331eb4b90e53</originalsourceid><addsrcrecordid>eNqNkMFO3DAQhi0EgoX2FSpf4LapHSdZpxIHWAEtWqlSVaTerIkzFl4lcbCzYle99BF4Rp4Ep7tLr_XF1vj7PZ6PEMpZwuP6vEx4VmTTjLNfScqYTJhkPE3WB2TyfnG4P7OyOCGnISwZi4UiPyYnXM5mUuRsQn7_gNpqaGjvXRhgQD24dkON8_uK1RRq7JwGr23nWvhCgbYw6EesqXZtD94G11FnqOuxox4H7_pVNea6mnpXueH1zwuEYMMQI7HFY2efVhg-kCMDTcCPu_2MPNze_Jx_nS6-332bXy2mOitEOs2F4MLUGatYXqEQpUBZM1OmGnjO61KbWSFZXkgNoLNSGJRoYgarrCoZ5uKMXGzfjRONfQfV2qCxaaBDtwqqKKKOXMwiKLegjqMHj0b13rbgN4ozNYpXSzU6VaNfNYpXf8WrdYx-2vVYVS3W_4I70xE43wEQom_jodM2vHMp50IImUbucss92wY3__0BdX3_MJ7EG8Dxotw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>66877537</pqid></control><display><type>article</type><title>Radical prostatectomy for prostatic adenocarcinoma: a matched comparison of open retropubic and robot‐assisted techniques</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Krambeck, Amy E. ; DiMarco, David S. ; Rangel, Laureano J. ; Bergstralh, Eric J. ; Myers, Robert P. ; Blute, Michael L. ; Gettman, Matthew T.</creator><creatorcontrib>Krambeck, Amy E. ; DiMarco, David S. ; Rangel, Laureano J. ; Bergstralh, Eric J. ; Myers, Robert P. ; Blute, Michael L. ; Gettman, Matthew T.</creatorcontrib><description>OBJECTIVE
To assess the perioperative complications and early oncological results in a comparative study matching open radical retropubic (RRP) and robot‐assisted radical prostatectomy (RARP) groups.
PATIENTS AND METHODS
From August 2002 to December 2005 we identified 294 patients undergoing RARP for clinically localized prostate cancer. A comparison RRP group of 588 patients from the same period was matched 2:1 for surgical year, age, preoperative prostate‐specific antigen level, clinical stage and biopsy Gleason grade. Perioperative complications were compared. Patients completed a standardized quality‐of‐life questionnaire. Pathological features were assessed and Kaplan‐Meier estimates of biochemical progression‐free survival (PFS) were compared.
RESULTS
There was no significant difference in overall perioperative complications between the RARP and RRP groups (8.0% vs 4.8%, P = 0.064). Wound herniation was more common after RARP (1.0% vs none, P = 0.038), and development of bladder neck contracture was more common after RRP (1.2% vs 4.6%; P < 0.018). The hospital stay was less after RARP (29.3% vs 19.4%, P = 0.004, for a stay of 1 day). At the 1‐year follow‐up there was no significant difference in continence (RARP 91.8%, RRP 93.7%, P = 0.344) or potency (RARP 70.0%, RRP 62.8%, P = 0.081) rates. The biochemical PFS was no different between treatments at 3 years (RARP 92.4%, RRP 92.2%; P = 0.69).
CONCLUSION
There was no significant difference in overall early complication, long‐term continence or potency rates between the RARP and RRP techniques. Furthermore, early oncological outcomes were similar, with equivalent margin positivity and PFS between the groups.</description><identifier>ISSN: 1464-4096</identifier><identifier>EISSN: 1464-410X</identifier><identifier>DOI: 10.1111/j.1464-410X.2008.08012.x</identifier><identifier>PMID: 18778350</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adenocarcinoma - pathology ; Adenocarcinoma - surgery ; Adult ; Aged ; Biological and medical sciences ; Gynecology. Andrology. Obstetrics ; Humans ; Intraoperative Complications - etiology ; laparoscopy ; Length of Stay ; Male ; Male genital diseases ; Medical sciences ; Middle Aged ; Neoplasm Staging ; Nephrology. Urinary tract diseases ; Postoperative Complications - etiology ; Prospective Studies ; prostate ; Prostatectomy - methods ; prostatic neoplasms ; Prostatic Neoplasms - pathology ; Prostatic Neoplasms - surgery ; Quality of Life ; Robotics ; surgery ; Treatment Outcome ; Tumors ; Tumors of the urinary system ; Urinary tract. Prostate gland</subject><ispartof>BJU international, 2009-02, Vol.103 (4), p.448-453</ispartof><rights>2008 THE AUTHORS. JOURNAL COMPILATION © 2008 BJU INTERNATIONAL</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4632-53313fd40b05be3393e8d0f92ca151d9cf7680568caac493fe8ef331eb4b90e53</citedby><cites>FETCH-LOGICAL-c4632-53313fd40b05be3393e8d0f92ca151d9cf7680568caac493fe8ef331eb4b90e53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-410X.2008.08012.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-410X.2008.08012.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21133382$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18778350$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krambeck, Amy E.</creatorcontrib><creatorcontrib>DiMarco, David S.</creatorcontrib><creatorcontrib>Rangel, Laureano J.</creatorcontrib><creatorcontrib>Bergstralh, Eric J.</creatorcontrib><creatorcontrib>Myers, Robert P.</creatorcontrib><creatorcontrib>Blute, Michael L.</creatorcontrib><creatorcontrib>Gettman, Matthew T.</creatorcontrib><title>Radical prostatectomy for prostatic adenocarcinoma: a matched comparison of open retropubic and robot‐assisted techniques</title><title>BJU international</title><addtitle>BJU Int</addtitle><description>OBJECTIVE
To assess the perioperative complications and early oncological results in a comparative study matching open radical retropubic (RRP) and robot‐assisted radical prostatectomy (RARP) groups.
PATIENTS AND METHODS
From August 2002 to December 2005 we identified 294 patients undergoing RARP for clinically localized prostate cancer. A comparison RRP group of 588 patients from the same period was matched 2:1 for surgical year, age, preoperative prostate‐specific antigen level, clinical stage and biopsy Gleason grade. Perioperative complications were compared. Patients completed a standardized quality‐of‐life questionnaire. Pathological features were assessed and Kaplan‐Meier estimates of biochemical progression‐free survival (PFS) were compared.
RESULTS
There was no significant difference in overall perioperative complications between the RARP and RRP groups (8.0% vs 4.8%, P = 0.064). Wound herniation was more common after RARP (1.0% vs none, P = 0.038), and development of bladder neck contracture was more common after RRP (1.2% vs 4.6%; P < 0.018). The hospital stay was less after RARP (29.3% vs 19.4%, P = 0.004, for a stay of 1 day). At the 1‐year follow‐up there was no significant difference in continence (RARP 91.8%, RRP 93.7%, P = 0.344) or potency (RARP 70.0%, RRP 62.8%, P = 0.081) rates. The biochemical PFS was no different between treatments at 3 years (RARP 92.4%, RRP 92.2%; P = 0.69).
CONCLUSION
There was no significant difference in overall early complication, long‐term continence or potency rates between the RARP and RRP techniques. Furthermore, early oncological outcomes were similar, with equivalent margin positivity and PFS between the groups.</description><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Intraoperative Complications - etiology</subject><subject>laparoscopy</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Postoperative Complications - etiology</subject><subject>Prospective Studies</subject><subject>prostate</subject><subject>Prostatectomy - methods</subject><subject>prostatic neoplasms</subject><subject>Prostatic Neoplasms - pathology</subject><subject>Prostatic Neoplasms - surgery</subject><subject>Quality of Life</subject><subject>Robotics</subject><subject>surgery</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. Prostate gland</subject><issn>1464-4096</issn><issn>1464-410X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMFO3DAQhi0EgoX2FSpf4LapHSdZpxIHWAEtWqlSVaTerIkzFl4lcbCzYle99BF4Rp4Ep7tLr_XF1vj7PZ6PEMpZwuP6vEx4VmTTjLNfScqYTJhkPE3WB2TyfnG4P7OyOCGnISwZi4UiPyYnXM5mUuRsQn7_gNpqaGjvXRhgQD24dkON8_uK1RRq7JwGr23nWvhCgbYw6EesqXZtD94G11FnqOuxox4H7_pVNea6mnpXueH1zwuEYMMQI7HFY2efVhg-kCMDTcCPu_2MPNze_Jx_nS6-332bXy2mOitEOs2F4MLUGatYXqEQpUBZM1OmGnjO61KbWSFZXkgNoLNSGJRoYgarrCoZ5uKMXGzfjRONfQfV2qCxaaBDtwqqKKKOXMwiKLegjqMHj0b13rbgN4ozNYpXSzU6VaNfNYpXf8WrdYx-2vVYVS3W_4I70xE43wEQom_jodM2vHMp50IImUbucss92wY3__0BdX3_MJ7EG8Dxotw</recordid><startdate>200902</startdate><enddate>200902</enddate><creator>Krambeck, Amy E.</creator><creator>DiMarco, David S.</creator><creator>Rangel, Laureano J.</creator><creator>Bergstralh, Eric J.</creator><creator>Myers, Robert P.</creator><creator>Blute, Michael L.</creator><creator>Gettman, Matthew T.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200902</creationdate><title>Radical prostatectomy for prostatic adenocarcinoma: a matched comparison of open retropubic and robot‐assisted techniques</title><author>Krambeck, Amy E. ; DiMarco, David S. ; Rangel, Laureano J. ; Bergstralh, Eric J. ; Myers, Robert P. ; Blute, Michael L. ; Gettman, Matthew T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4632-53313fd40b05be3393e8d0f92ca151d9cf7680568caac493fe8ef331eb4b90e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adenocarcinoma - pathology</topic><topic>Adenocarcinoma - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Intraoperative Complications - etiology</topic><topic>laparoscopy</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Postoperative Complications - etiology</topic><topic>Prospective Studies</topic><topic>prostate</topic><topic>Prostatectomy - methods</topic><topic>prostatic neoplasms</topic><topic>Prostatic Neoplasms - pathology</topic><topic>Prostatic Neoplasms - surgery</topic><topic>Quality of Life</topic><topic>Robotics</topic><topic>surgery</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krambeck, Amy E.</creatorcontrib><creatorcontrib>DiMarco, David S.</creatorcontrib><creatorcontrib>Rangel, Laureano J.</creatorcontrib><creatorcontrib>Bergstralh, Eric J.</creatorcontrib><creatorcontrib>Myers, Robert P.</creatorcontrib><creatorcontrib>Blute, Michael L.</creatorcontrib><creatorcontrib>Gettman, Matthew T.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>BJU international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krambeck, Amy E.</au><au>DiMarco, David S.</au><au>Rangel, Laureano J.</au><au>Bergstralh, Eric J.</au><au>Myers, Robert P.</au><au>Blute, Michael L.</au><au>Gettman, Matthew T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radical prostatectomy for prostatic adenocarcinoma: a matched comparison of open retropubic and robot‐assisted techniques</atitle><jtitle>BJU international</jtitle><addtitle>BJU Int</addtitle><date>2009-02</date><risdate>2009</risdate><volume>103</volume><issue>4</issue><spage>448</spage><epage>453</epage><pages>448-453</pages><issn>1464-4096</issn><eissn>1464-410X</eissn><abstract>OBJECTIVE
To assess the perioperative complications and early oncological results in a comparative study matching open radical retropubic (RRP) and robot‐assisted radical prostatectomy (RARP) groups.
PATIENTS AND METHODS
From August 2002 to December 2005 we identified 294 patients undergoing RARP for clinically localized prostate cancer. A comparison RRP group of 588 patients from the same period was matched 2:1 for surgical year, age, preoperative prostate‐specific antigen level, clinical stage and biopsy Gleason grade. Perioperative complications were compared. Patients completed a standardized quality‐of‐life questionnaire. Pathological features were assessed and Kaplan‐Meier estimates of biochemical progression‐free survival (PFS) were compared.
RESULTS
There was no significant difference in overall perioperative complications between the RARP and RRP groups (8.0% vs 4.8%, P = 0.064). Wound herniation was more common after RARP (1.0% vs none, P = 0.038), and development of bladder neck contracture was more common after RRP (1.2% vs 4.6%; P < 0.018). The hospital stay was less after RARP (29.3% vs 19.4%, P = 0.004, for a stay of 1 day). At the 1‐year follow‐up there was no significant difference in continence (RARP 91.8%, RRP 93.7%, P = 0.344) or potency (RARP 70.0%, RRP 62.8%, P = 0.081) rates. The biochemical PFS was no different between treatments at 3 years (RARP 92.4%, RRP 92.2%; P = 0.69).
CONCLUSION
There was no significant difference in overall early complication, long‐term continence or potency rates between the RARP and RRP techniques. Furthermore, early oncological outcomes were similar, with equivalent margin positivity and PFS between the groups.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18778350</pmid><doi>10.1111/j.1464-410X.2008.08012.x</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adenocarcinoma - pathology Adenocarcinoma - surgery Adult Aged Biological and medical sciences Gynecology. Andrology. Obstetrics Humans Intraoperative Complications - etiology laparoscopy Length of Stay Male Male genital diseases Medical sciences Middle Aged Neoplasm Staging Nephrology. Urinary tract diseases Postoperative Complications - etiology Prospective Studies prostate Prostatectomy - methods prostatic neoplasms Prostatic Neoplasms - pathology Prostatic Neoplasms - surgery Quality of Life Robotics surgery Treatment Outcome Tumors Tumors of the urinary system Urinary tract. Prostate gland |
| title | Radical prostatectomy for prostatic adenocarcinoma: a matched comparison of open retropubic and robot‐assisted techniques |
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