MP58-12 COMPARISON OF SURGICAL-RELATED COMPLICATIONS BETWEEN ROBOTIC ASSISTED AND LAPAROSCOPIC RADICAL PROSTATECTOMY AS CONSECUTIVE CASES STUDY

Abstract

You have accessJournal of UrologyProstate Cancer: Localized VI1 Apr 2014MP58-12 COMPARISON OF SURGICAL-RELATED COMPLICATIONS BETWEEN ROBOTIC ASSISTED AND LAPAROSCOPIC RADICAL PROSTATECTOMY AS CONSECUTIVE CASES STUDY Katsumi Shigemura, Kazushi Tanaka, Junya Furukawa, Nobuyuki Hinata, Takeshi Ishimura, Mototsugu Muramaki, Hideaki Miyake, and Masato Fujisawa Katsumi ShigemuraKatsumi Shigemura More articles by this author , Kazushi TanakaKazushi Tanaka More articles by this author , Junya FurukawaJunya Furukawa More articles by this author , Nobuyuki HinataNobuyuki Hinata More articles by this author , Takeshi IshimuraTakeshi Ishimura More articles by this author , Mototsugu MuramakiMototsugu Muramaki More articles by this author , Hideaki MiyakeHideaki Miyake More articles by this author , and Masato FujisawaMasato Fujisawa More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1828AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Robotic assisted radical prostatectomy (RARP) has been spread to undergo but following adverse events (AEs) were not fully examined in this situation. The purpose of this study is to compare operation-related adverse events AEs between RARP under the classification of laparoscopic radical prostatectomy (LRP)- naive or experienced surgeons and LRP as consecutive cases study especially in order to examine if LRP-experience may help RARP leaning. METHODS We retrospectively investigated intra- and peri (before discharge)-operative complications in the RARP cases and comparative LRP cases which were performed in our institution and compared them especially according to the Clavien-Dindo classifications. RARP groups were divided to 2 groups: 1) LRP naive and 2) LRP experienced surgeons for the purpose of evaluating the merit of LRP experience for RARP learning. RESULTS We had consecutive 167 RARP, 133 RARP (LRP naive), and 260 LRP cases in this study. Median surgical time and estimated blood loss for RARP, RARP (LRP naive) and LRP were 254 ± 53.1, 257 ± 57.4 and 300 ± 59.3 minutes (p<0.0001), respectively, and 248 ± 358, 236 ± 365, and 880 ± 630 ml (p<0.0001), respectively. Of the RARP, RARP (LRP naive) and LRP patients, 5 (2.99 %), 5 (3.79 %) and 16 (6.15 %) had intraoperative complications, respectively (p>0.05), and 24 (14.3 %), 19 (14.3 %) and 51 (19.2 %) had peri-operative complications, respectively (p>0.05). Importantly, RARP had less severe AEs (Grade IIIa+IIIb) than LRP (p=0.0401). CONCLUSIONS Our comparison cases data showed that RARP offered less severe peri-operative complication rates, shorter operative time and less estimated blood loss compared to LRP. LRP naive surgeons did not comprise AEs compared to those surgeons with LRP-experienced surgeons. Further investigation will be undertaken with longer observed periods for late AEs. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e662 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Katsumi Shigemura More articles by this author Kazushi Tanaka More articles by this author Junya Furukawa More articles by this author Nobuyuki Hinata More articles by this author Takeshi Ishimura More articles by this author Mototsugu Muramaki More articles by this author Hideaki Miyake More articles by this author Masato Fujisawa More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...