Objectives: This study describes the early experience of robotic prostatectomy exclusively at a teaching community hospital.
Methods: This is a retrospective report of 153 consecutive patients on whom 4 physicians were the operating surgeon.
Results: The average hospital stay was 1.5 days, the mean operative time was 175 minutes, and the estimated operative blood loss was <300mL. The perioperative complication rate was 7.8% (12/153). The prostate-specific antigen failure rate was 2% (2/114). Urinary continence was maintained in 98% of patients 9 months after surgery. Postoperative Gleason scores differed significantly from preoperative biopsy results (P<0.001). Pathological records reported positive margins in 35% (54/153) of specimens. T3 tumors had positive margins more than twice as often as T2 tumors (P<0.002). Surgeon experience correlated with shorter operative times (P=0.001), but not with positive margins. Increasing body mass index was associated with increased operating time (P<0.001).
Conclusions: Robotic prostatectomy appears to be a safe and successful option for prostate cancer treatment in a teaching community hospital.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3148870 | PMC |
| http://dx.doi.org/10.4293/108680811X13022985131930 | DOI Listing |
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