OBJECTIVE: Radical prostatectomy (RP) is the standard treatment for cancer control in the long term.
The rise of minimally invasive surgery and new technologies have yielded better results and to pursue more ambitious. The main works still use the trifecta how classic presentation, but this does not cover all aspects of surgery. Pentafecta is a new and more comprehensive methodology for report outcomes after RP, include complications and surgical margin status with the three major outcomes classically reported. The purpose of this study is to report our experience with robot-assisted laparoscopic radical prostatectomy (RALRP) by applying the concept of pentafecta.
MATERIAL AND METHOD: Describe the experience in this institution from March 2009 to December 2012 of RALRP according pentafecta.
RESULTS: We performed 101 interventions. Average age 60,89±7,32 years (40-77), total PSA 8,5±5,57ng/dl (0,2-29). D́Amico classification: Low 29 (28,71%), Medium 65 (64,36%), High 7 (6,93%). Operative time 253,44±51,51minutes (90-540), Complications 12,9% (Clavien I-II 10,89% y Clavien IIIa 1,98%). Positive surgical margins 20,83%. Biochemistry recurrens 12,5% follow- up (6-44 months). Continence 87,5% per year and Potency 59,52%.
CONCLUSIONS: RALRP is a safe and reproducible procedure with excelents results in terms of pentafecta, inclusive during the initial experience at a low volumen center for prostate cancer. It require more time to study and experience with more patient volumen to obtain better results and data to be compared with excellence centers.
Written by:
Gárate J, Sánchez-Salas R, Valero R, Matheus R, León A, Dávila H. Are you the author?
Unidad de Cirugía Robótica, Servicio de Urología, Hospital Universitario de Caracas, Caracas, Venezuela.
Reference: Actas Urol Esp. 2014 Jun 25. pii: S0210-4806(14)00143-0.
doi: 10.1016/j.acuro.2013.12.014
PubMed Abstract
PMID: 24974068
Article in English, Spanish.
UroToday.com Prostate Cancer Section
