Lott Felipe Monnerat, Favorito Luciano Alves
State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
UERJ, Rio de Janeiro, RJ, Brazil.
Acta Cir Bras. 2015 Mar;30(3):229-34. doi: 10.1590/S0102-8650201500300000011.
To assess comparative results of robot-assisted radical laparoscopic prostatectomy (RARP) performed by surgeons without any experience in laparoscopic prostatectomy and the open procedure performed by surgeons with large experience.
We analyzed 84 patients (50 subjected to robotic surgery) from June 2012 to September 2013. Data were prospectively collected in a customized database. Two surgeons carried out all the RARP cases. These two surgeons and six more performed the open cases. The perioperative outcomes between the two groups were analyzed with a minimum followup of 12 months.
The corporal mass index (BMI) was higher in the open group (p=0.001). There was more operatve time, less hospitalization and blood loss, better trifecta and pentafecta and earlier continence (p=0.045) in the robotic group (p=0.001). There was no difference in positive surgical margins but with greater extraprostatic extension in the open group (p=0.002).
Robot-assisted radical prostatectomy is a safe procedure even in the hands of surgeons with no previous experience. Besides this, better operative outcomes can be reached with this modern approach.
评估由无腹腔镜前列腺切除术经验的外科医生实施的机器人辅助腹腔镜根治性前列腺切除术（RARP）与由经验丰富的外科医生实施的开放手术的对比结果。
我们分析了2012年6月至2013年9月期间的84例患者（50例行机器人手术）。数据前瞻性收集于一个定制数据库中。所有RARP病例由两名外科医生实施。这两名外科医生以及另外六名医生实施开放手术病例。对两组的围手术期结果进行分析，最短随访12个月。
开放组的体质指数（BMI）更高（p = 0.001）。机器人手术组的手术时间更长、住院时间更短、失血量更少、三联征和五联征情况更好且控尿恢复更早（p = 0.045）（p = 0.0
