Preliminary experience of robot assisted laparoscopic radical prostatectomy for high-risk prostate cancer
Xu Huiyang
Mo Chengqiang
Chen Wei
Qiu Shaopeng
Wang Daohu
Abstract：Objective:To investigate the application and efficacy of robot assisted laparoscopic radical prosta-tectomy (RALP)in the management of high-risk prostate cancer.Methods:The clinical date of 43 cases of high-risk prostate cancer receiving RALP from March 2015 to September 2016 in our department were collected and retrospectively analyzed.Results:All the operations were successfully completed and there was no open conver-sion.The mean operating time was (288.05±87.75)min and the mean intraoperative blood loss was (277.69± 402.67)mL.The mean postoperative drainage volume within 3 days was (431.58±346.75)mL.The mean post-operative fasting time was (3.05±1.33)days.There were 3 cases of lymphatic leak,2 cases of urine leak and one case of subcutaneous hemorrhage after RALP,and they were cured by conservative therapy.The catheterization time was about 2 weeks postoperation.The postoperative hospital stay was 4-39 days (mean,12.56±6.47 days). The patients were followed up for 6 weeks to 1 5 months after RALP.Three patients had biochemical recurrence and no one had complete urinary incontinence.Conclusions:RALP is a safe and efficacious surgical modality in the management of high-risk prostate cancer.RALP showed obvious advantages in the short-term follow-up period, especially in the functional preservation and anatomical reconstruction.
Keywords：robotprostatectomyhigh-riskprostate cancer
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 51-54 )