Robotic Radical Prostatectomy in Overweight and Obese Patients: Oncological and Validated-Functional Outcomes

摘要: Objectives To determine the impact of body mass index (BMI) on perioperative functional and oncological outcomes in patients undergoing robotic laparoscopic radical prostatectomy (RLRP) when stratified by BMI. Methods Data were collected prospectively for 945 consecutive RLRP. Patients evaluated with UCLA-PCI-SF36v2 validated-quality-of-life questionnaire preoperatively postoperatively to 24 months. BMI as normal weight (BMI < 25 kg/m2), overweight = 30 kg/m2) obese ≥ analysis. Results Preoperatively, men had a significantly greater percentage medical comorbidities (P .01) well baseline erectile dysfunction (lower mean Sexual Health Inventory Men score [P .01] sexual function domain scores .01]). Mean operative time was longer compared (234 minutes vs 217 214 minutes; P .0003). Although overall complication rates comparable between groups, incidence case abortion caused pneumoperitoneal pressure excessive airway pressures noted men. Urinary continence potency lower at both 12 months (all .05). Conclusions In this series, experienced time, particularly during initial experience. As such, surgeons early their RLRP learning curve should proceed cautiously surgery these technically more difficult or reserve such cases until has been surmounted. These details, including inferior urinary outcomes, be discussed preoperative counseling.