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Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Robotic radical prostatectomy in Greece: the learning curve and beyond. The initial 40 cases
N P Pardalidis1,2, N A Andriopoulos3, A Tsiga3
1Athens Medical Centre, Marousi, Greece. pardalidis@internet.gr.
Journal of Robotic Surgery
|September 18, 2016
Summary
Robotic radical prostatectomy offers a minimally invasive approach for prostate cancer, demonstrating promising oncological and functional outcomes with a manageable learning curve for surgeons.
Area of Science:
- Urology
- Surgical Oncology
- Robotic Surgery
Background:
- Radical prostatectomy is the standard treatment for organ-confined prostate cancer.
- Robotic technology offers potential improvements in surgical outcomes and reduced learning curves compared to conventional laparoscopy.
Purpose of the Study:
- To report initial experience with robotic radical prostatectomy using the da Vinci system.
- To evaluate the safety, efficacy, and learning curve of robotic radical prostatectomy.
Main Methods:
- 40 robotic radical prostatectomies were performed over 8 months.
- Data collected included preoperative, operative, and postoperative outcomes.
- Outcomes assessed: operative time, blood loss, complications, hospital stay, pain, catheter time, continence, potency, positive margin rate, and PSA levels.
Main Results:
- Average operative time: 186.25 min; mean blood loss: 135 ml.
- No intra-operative complications; 90% discharged on postoperative day 1.
- Continence rates: 47.5% (early), 95% (6 months); undetectable PSA in 95% at 6 months.
- Positive margin rate: 17.5%; learning curve: 10-12 cases.
Conclusions:
- Robotic radical prostatectomy is a safe and effective treatment for prostate cancer.
- The procedure combines minimal morbidity with good oncological and functional outcomes.
- A methodical approach facilitates safe implementation and a manageable learning curve.
