Robotic radical prostatectomy: operative technique, outcomes, and learning curve.

摘要: OBJECTIVE To report the operative technique, oncologic and therapeutic outcomes, learning curve from our initial series of over 140 patients treated by robotic radical prostatectomy. METHODS Between January 2003 May 2005, 143 with clinically localized prostate cancer underwent a Prospective data collection included patient age, body mass index (BMI), clinical T stage, biopsy Gleason score, prostate-specific antigen (PSA). Operative outcome measures time, estimated blood loss (EBL), complications. Post-operative outcomes were length hospital stay, catheter duration, pathology, margin status, biochemical recurrence, return continence. RESULTS Mean time was 241 minutes an EBL 274 mL. Five (3%) required conversion to open surgery. The average hospitalization 1.8 days, Foley catheters removed after 8.9 days. Twenty-four 141 men (17%) had positive surgical margin, decrease 23% in first half experience 11% latter half. Patients extracapsular extension significantly higher rate than did those organ-confined disease (47% vs 15%). Over 40% margins located posteriorly. At mean follow-up 11 months, 96% PSA <0.2 ng/mL. median complete continence 3.5 95% fully continent at 1 year. CONCLUSION Robotic prostatectomy is effective treatment modality for cancer. Although needs be overcome, experienced benefits convalescence early functional comparable approach. Longer-term results are needed; however, encouraging.