单侧和双侧保留神经机器人辅助根治性前列腺切除术后的早期和晚期尿控结果：日本的一项回顾性多中心队列研究（MSUG94组）
Early and late urinary continence outcomes after unilateral and bilateral nerve-sparing robot-assisted radical prostatectomy: A retrospective multicentre cohort study in Japan (the MSUG94 group).
作者信息
Sakaguchi Kazushige, Ebara Shin, Tatenuma Tomoyuki, Sasaki Takeshi, Ikehata Yoshinori, Nakayama Akinori, Kawase Makoto, Toide Masahiro, Yoneda Tatsuaki, Teishima Jun, Makiyama Kazuhide, Inoue Takahiro, Kitamura Hiroshi, Saito Kazutaka, Koie Takuya, Koga Fumitaka, Urakami Shinji
机构信息
Department of Urology, Toranomon Hospital, Tokyo, Japan.
Department of Urology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
出版信息
Int J Med Robot. 2023 Nov 20:e2593. doi: 10.1002/rcs.2593.
BACKGROUND
The impact of unilateral and bilateral nerve-sparing robot-assisted laparoscopic radical prostatectomy (NS-RARP) procedures on continence and the time to continence recovery have not been established.
MATERIAL AND METHODS
We retrospectively reviewed a total of 2801 patients who underwent RARP in 9 institutions. Procedures were classified as NS or non-NS; NS procedures were further classified as unilateral or bilateral. The recovery of continence was analysed using propensity score matching method.
RESULTS
The pad-free rates at 12 months after surgery were higher in the NS group (95% confidence interval of odds ratio, 1.06-1.51). Pad-free rates at all time points within 12 months of surgery did not significantly differ between the unilateral and bilateral NS groups.
CONCLUSIONS
NS-RARP resulted in better urinary continence outcomes than non-NS-RARP in the first 12 months after surgery. Urinary recovery rates did not significantly differ between unilateral and bilateral NS-RARP.
背景
单侧和双侧保留神经的机器人辅助腹腔镜根治性前列腺切除术（NS-RARP）对控尿及控尿恢复时间的影响尚未明确。
材料与方法
我们回顾性分析了9家机构共2801例行RARP手术的患者。手术分为保留神经（NS）组和非保留神经组；NS手术进一步分为单侧和双侧。采用倾向评分匹配法分析控尿恢复情况。
结果
NS组术后12个月无尿垫率更高（优势比的95%置信区间为1.06 - 1.51）。手术12个月内各时间点，单侧和双侧NS组的无尿垫率无显著差异。
结论
在术后的前12个月，NS-RARP比非NS-RARP的尿控效果更好。单侧和双侧NS-RARP的尿控恢复率无显著差异。
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