Comparison of mid-term carcinologic control obtained after open, laparoscopic, and robot-assisted radical prostatectomy for localized prostate cancer

Objective To determine the cancer control afforded by radical prostatectomy in patients who underwent either an open, laparoscopic, or robotic procedure for localized prostate cancer. Methods We collected data on all patients treated between 2000 and 2004. We recorded age, BMI, PSA, Gleason score an...

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Bibliographic Details
Published in:World journal of urology 2009-10, Vol.27 (5), p.599-605
Main Authors: Drouin, Sarah J., Vaessen, Christophe, Hupertan, Vincent, Comperat, Eva, Misraï, Vincent, Haertig, Alain, Bitker, Marc-Olivier, Chartier-Kastler, Emmanuel, Richard, François, Rouprêt, Morgan
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Humans
Laparoscopy
Male
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Oncology
Original Article
Prostatectomy - methods
Prostatic Neoplasms - surgery
Robotics
Time Factors
Treatment Outcome
Urology
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Summary:Objective To determine the cancer control afforded by radical prostatectomy in patients who underwent either an open, laparoscopic, or robotic procedure for localized prostate cancer. Methods We collected data on all patients treated between 2000 and 2004. We recorded age, BMI, PSA, Gleason score and 2002 TNM stage, type of surgery, perioperative parameters, postoperative complications, pathological data, recurrence and outcome. Results Data were analyzed for 239 patients. Overall, the mean follow-up was 49.7 (18–103) months. Surgical procedures were open in 83 patients, laparoscopic in 85, and robot-assisted in 71. The transfusion rate was 5.6% for robotic cases, 5.9% for laparoscopic cases and 9.6% for open prostatectomy ( p  = 0.03). The positive margin rates in open, laparoscopic, and robotic cases were 18.1, 18.8, and 16.9% ( p  = 0.52), respectively. Only margin status, PSA level (>10), and Gleason score (>7) were associated with recurrence in univariate analysis ( p  
ISSN:0724-4983
1433-8726
DOI:10.1007/s00345-009-0379-z