Contemporary Comparison of Open to Robotic Prostatectomy at a Veteran’s Affairs Hospital

摘要: INTRODUCTION Among veterans, prostate cancer is the most common malignancy and has a higher incidence compared to rest of nation. No study effectiveness Robotic-assisted-laparoscopic radical prostatectomy (RALP) vs. open (ORP) in Veteran's Affairs (VA) hospital setting during adoption RALP. METHODS Institutional Review Board approval was obtained. Retrospective review completed on Veterans with who underwent ORP or RALP from March 2011 January 2017 introduction at one VA hospital. Perioperative functional outcomes between were as well initial 50 final 53 RALPs. RESULTS 91 ORPs 153 RALPs, had significant reductions blood transfusions [2(1.3%) 44(40%), p 2 complications [1(0.7%) 20 (22.0%), < 0.001], urine leak 11 (12.1%), ICU readmissions [0(0%) 3(3.3%), 0.001]. There no differences positive margin status outcomes. Compared first cases, last RALPs demonstrated shorter operative time (349 292 min, 0.001), lower EBL (300 150 mL, more frequent 1-day length stay (34% 60%, = 0.02), fewer composite adverse events (82% 51%, 0.004). Operative for (292 minutes) than that (325 minutes, 0.013). CONCLUSIONS During hospital, associated several improved parameters similar times noted after 100 cases safe introduce without compromising