복강경 근치적 전립선적출술과 로봇을 이용한 근치적 전립선적출술의 비교: 단일 술자 경험
Laparoscopic Radical Prostatectomy versus Robot-Assisted Laparoscopic Radical Prostatectomy: A Single Surgeon’s Experience
조재욱, 김태효, 성경탁,
소속 상세정보
조재욱 ( Cho Jae-Wook )
동아대학교 의과대학 비뇨기과학교실
김태효 ( Kim Tae-Hyo )
동아대학교 의과대학 비뇨기과학교실
성경탁 ( Sung Gyung-Tak )
동아대학교 의과대학 비뇨기과학교실
KMID : 0358320090500121198
Abstract
Purpose: We compared a single surgeon’s experience with radical prostatectomy by laparoscopic radical prostatectomy (LRP) versus robot- assisted laparoscopic radical prostatectomy (RARP) with regard to preoperative, intraoperative, and postoperative parameters.
Materials and Methods: We retrospectively reviewed 120 patients undergoing LRP and RARP from January 2003 to December 2008. The patients were matched for age, body mass index, prostate-specific antigen, pathological stage, and Gleason score. Preoperative, perioperative, and postoperative data, including complications, and trifecta results (positive surgical margin, potency, and continence) were analyzed between the two groups.
Results: The two groups were statistically similar with respect to age, body mass index, prostate-specific antigen, Gleason score, and clinical stage. The RARP group showed better results in operative time, estimated blood loss, hospital stay, and bladder catheterization duration. There were no major complications, but minor complications occurred in 25.0% versus 10.0% of cases. The trifecta results were better in the RARP group than in the LRP group.
Conclusions: RARP showed excellent results in several operative parameters compared with LRP. If the economic hurdle to RARP can be overcome, it will become the standard treatment in radical prostatectomy.
키워드
Prostatic neoplasms;Prostatectomy;Laparoscopy;Robotics
원문 및 링크아웃 정보
등재저널 정보