Murakami Tomohiko, Otsubo Satoshi, Namitome Ryo, Shiota Masaki, Inokuchi Junichi, Takeuchi Ario, Kashiwagi Eiji, Tatsugami Katsunori, Eto Masatoshi
Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.
Mol Clin Oncol. 2018 Nov;9(5):575-581. doi: 10.3892/mco.2018.1718. Epub 2018 Sep 13.
The present study investigated clinical factors affecting perioperative outcomes in robot-assisted radical prostatectomy (RARP). The study included 625 Japanese cases treated with RARP between 2009 and 2017. The association between clinical factors (age, overweight status, prostate volume, clinical T-stage, nerve sparing, lympho-node dissection, and the number of experienced cases) and perioperative outcomes (operation time, estimated blood loss, catheterization duration, and perioperative complication) were analyzed. Results revealed that overweight status, prostate volume, lymph-node dissection, and the number of experienced cases were associated with operation time. For estimated blood loss, the identified risk factors were overweight status, prostate volume, nerve sparing, lymph-node dissection, and the number of experienced cases. Lymph-node dissection and the number of experienced cases were also associated with catheterization duration. Additionally, only lymph-node dissection was associated with increased perioperative complication. Taken together, the present study identified several clinical factors affecting perioperative outcomes in RARP. This information may help surgeons to estimate perioperative outcomes as well as to inform patients.
本研究调查了影响机器人辅助根治性前列腺切除术（RARP）围手术期结局的临床因素。该研究纳入了2009年至2017年间接受RARP治疗的625例日本患者。分析了临床因素（年龄、超重状态、前列腺体积、临床T分期、保留神经、淋巴结清扫以及术者经验例数）与围手术期结局（手术时间、估计失血量、导尿持续时间和围手术期并发症）之间的关联。结果显示，超重状态、前列腺体积、淋巴结清扫以及术者经验例数与手术时间相关。对于估计失血量，确定的危险因素为超重状态、前列腺体积、保留神经、淋巴结清扫以及术者经验例数。淋巴结清扫和术者经验例数也与导尿持续时间相关。此外，仅淋巴结清扫与围手术期并发症增加相关。综上所述，本研究确定了影响RARP围手术期结局的若干临床因素。这些信息可能有助于外科医生评估围手术期结局并告知患者。
