WCE 2017: Comparison of Surgical, Oncological, and Functional Outcomes of Robot Assisted and Laparoscopic Radical Prostatectomy
A total of 635 RARP and 48 LRP were performed from 2012 to 2016, and the surgical, oncological, and functional data were prospectively collected of each patient. Patients had follow ups every 3 months for the first two years after their procedure, then every 6 months for the following two years, and then once every year afterwards.
After statistical analysis, they found that between the RARP and LRP groups, EBL, hospital stay, and urethral catheter removal times had no significant difference. There was also no significant difference for functional outcomes such as continence rates (RARP: 96% vs. LRP: 91%, p=0.41). Although not significant, potency rate at one year was in favor of RARP (RARP: 66% vs. LRP: 54%, p=0.2). There was a significant difference between the operative time (RARP: 206 minutes vs. LRP: 248 minutes, p=0.01) and Clavien grade complication rates (RARP: 1.73% vs. LRP: 6.2%, p=0.005), with RARP having a shorter operative time and less complications.
In conclusion, Dr. Boylu and his team showed that in comparison to LRP, RARP has more favorable results for intra-operative variables such as the operative time and complication rates. However, because there were no significant differences for postoperative variables such as EBL, hospital stay, and catheter removal times, his team concluded RARP and LRP provide similar oncological and functional outcomes for treatment of prostate cancer.
Presented by: Ugur Boylu, MD
Authors: Ugur Boylu, Abdurrahman Inkaya, Atilim Adiguzel, Tolga Sen, MD, Eyup Veli Kucuk
Affiliation: Health Sciences University Umraniye Training and Research Hospital
Written by: Cyrus Lin, Department of Urology, University of California-Irvine at 35th World Congress of Endourology– September 12-16, 2017, Vancouver, Canada.