Agreda Fernando, Raventos Carles, Planas Jacques, Trilla Enrique, Morote Juan
Servicio de Urologia.Hospital Valle de Hebron. Barcelona.Spain.
Arch Esp Urol. 2014 Mar;67(2):185-90.
To evaluate and compare the functional results of an established technique, laparoscopic radical prostatectomy(LRP), and the initial learning curve of robot assisted laparoscopic radical prostatectomy (RALRP).
This is a transversal case-control hybrid studio including all patients undergoing RALRP (39 ) and similar number of patients undergoing LRP (37) from November 2009 to June 2011. We used a transversal phone interrogatory to evaluate functional outcome.
The groups were comparable for IMC, age, serum PSA, prostatic ultrasound volume, biopsy Gleason, following time and clinical stage. For operative variables, there was no difference in estimated blood loss, hospital stay, days of drainage, time to catheter removal, transfusion rate and surgical margins. Median operative time was 216 min for RALRP, and 153 min for LRP (p < 0,001). There were no differences in erectile function or continence at 12 months. Mean time to continence was 5.7 weeks in RALRP and 8.9 week in LRP (p < 0,001). There was no difference in time to normal erectile function.
Even in the beginning of RALRP we did obtain results comparable to LRP.
评估并比较一种成熟技术——腹腔镜根治性前列腺切除术（LRP）与机器人辅助腹腔镜根治性前列腺切除术（RALRP）的初步学习曲线的功能结果。
这是一项横向病例对照混合研究，纳入了2009年11月至2011年6月期间所有接受RALRP的患者（39例）以及数量相近的接受LRP的患者（37例）。我们通过横向电话询问来评估功能结局。
两组在体重指数、年龄、血清前列腺特异抗原、前列腺超声体积、活检Gleason评分、随访时间和临床分期方面具有可比性。在手术变量方面，估计失血量、住院时间、引流天数、拔除导尿管时间、输血率和手术切缘无差异。RALRP的中位手术时间为216分钟，LRP为153分钟（p<0.001）。12个月时勃起功能或控尿方面无差异。RALRP达到控尿的平均时间为5.7周，LRP为8.9周（p<0.001）。恢复正常勃起功能的时间无差异。
即使在RALRP开展初期，我们确实获得了与LRP相当的结果。
