Mottrie, A.,Van Migem, P., De Naeyer, G., Schatteman, P. Carpentier, P., Fonteyne, E. : ROBOT-ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY: ONCOLOGICAL AND FUNCTIONAL RESULTS OF 184 CASES. Seclaendosurgery.com (en línea) 2007, nº 19. Available online. http://www.seclaendosurgery.com/seclan19/articulos/art01eng.htm
ISSN: 1698-4412

Keywords : Continence, erectile function, laparoscopy, prostatectomy, prostate cancer, robotics.

ABSTRACT

Objective: To evaluate the initial functional and oncological results of 184 robot-assisted radical prostatectomies performed at our hospital.
Methods: A retrospective study was made of the first consecutive 184 robot-assisted radical prostatectomies that were performed at our hospital between February 2003 and December 2005. The procedures were performed by two surgeons using the daVinci robot with three arms. A transperitoneal approach was used in all patients. All patients had a clinically organ-confined prostate cancer (≤cT2c). The median follow-up was 6 months. 
Results: A positive surgical margin was found in 29 of the 184 patients (mean of 15.7%). The percentage positive surgical margins for the organ confined (pT2) and non-organ confined prostate cancers (pT3) was 2.5% and 38% respectively. Ninety-five percent of patients were completely continent or wore one safety liner. Forty-three percent of the continent patients achieved complete continence within 28 days. Eighty-one percent of the patients, younger then 60 years old and whom received a nerve-sparing procedure, were potent and able to perform sexual intercourse. This percent dropped to 51% in patients older then 60 years old. There were no major complications encountered.
Conclusion: The functional and oncological results of this minimal invasive procedure seem very promising. Longer follow-up of the data and larger prospective studies are necessary to confirm these promising results.

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