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Robot-assisted radical prostatectomy significantly reduced biochemical recurrence compared to retro pubic radical prostatectomy
- Source :
- BMC Cancer, BMC Cancer, Vol 17, Iss 1, Pp 1-7 (2017)
- Publication Year :
- 2017
- Publisher :
- Springer Science and Business Media LLC, 2017.
-
Abstract
- Background The pathological and oncological outcomes of retro-pubic radical prostatectomy (RRP) and robot-assisted radical prostatectomy (RARP) have not been sufficiently investigated. Methods Treatment-naïve patients with localized prostate cancer (PC) (n = 908; RRP, n = 490; and RARP, n = 418) were enrolled in the study. The clinicopathological outcomes, rate and localization of the positive surgical margin (PSM), localization of PSM, and biochemical recurrence (BCR)-free survival groups were compared between RRP and RARP. Results The median patient age and serum PSA level (ng/mL) at diagnosis were 67 years and 7.9 ng/ml, respectively, for RRP, and 67 years and 7.6 ng/ml, respectively, for RARP. The overall PSM rate with RARP was 21%, which was 11% for pT2a, 12% for pT2b, 9.8% for pT2c, 43% for pT3a, 55% for pT3b, and 0% for pT4. The overall PSM rate with RRP was 44%, which was 12% for pT2a, 18% for pT2b, 43% for pT2c, 78% for pT3a, 50% for pT3b, and 40% for pT4. The PSM rate was significantly lower for RARP in men with pT2c and pT3a (p
- Subjects :
- Male
Biochemical recurrence
Cancer Research
medicine.medical_specialty
medicine.medical_treatment
030232 urology & nephrology
Urology
lcsh:RC254-282
03 medical and health sciences
Prostate cancer
0302 clinical medicine
Patient age
Genetics
medicine
Humans
Aged
Pubic Bone
Retrospective Studies
Aged, 80 and over
Prostatectomy
business.industry
fungi
Hazard ratio
Prostatic Neoplasms
Robotics
Middle Aged
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
medicine.disease
Survival Rate
Retro pubic radical prostatectomy (RRP)
Treatment Outcome
Oncology
And robot-assisted radical prostatectomy (RARP)
030220 oncology & carcinogenesis
Laparoscopy
Neoplasm Recurrence, Local
Positive Surgical Margin
business
Research Article
Oncological outcome
Follow-Up Studies
Subjects
Details
- ISSN :
- 14712407
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- BMC Cancer
- Accession number :
- edsair.doi.dedup.....8850f0a91322d506d6b1146db697951e