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Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Surgical site infections after radical prostatectomy: A comparative study between robot-assisted laparoscopic radical

Daniar K Osmonov1, Amr A Faddan1, Alexey V Aksenov1

  • 1Department of Urology and Pediatric Urology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.

Turkish Journal of Urology
|June 23, 2018
PubMed
Abstract

Insights

Robot-assisted laparoscopic radical prostatectomy (RALP) shows significantly lower surgical site infections (SSIs) compared to retropubic radical prostatectomy (RRP). RALP patients experienced fewer SSIs, primarily organ/space type, with shorter treatment durations.

Area of Science:

  • Urology
  • Surgical Oncology
  • Infectious Disease

Background:

  • Surgical site infections (SSIs) are a common complication after radical prostatectomy (RP).
  • Classifications of SSIs include superficial incisional, deep incisional, and organ/space infections.
  • Comparing robotic-assisted versus open surgical approaches is crucial for understanding SSI rates.

Purpose of the Study:

  • To compare the incidence and management of SSIs following robot-assisted laparoscopic radical prostatectomy (RALP) and retropubic radical prostatectomy (RRP).
  • To analyze the types and treatment durations of SSIs in both surgical groups.

Main Methods:

  • A retrospective review of 285 patients undergoing radical prostatectomy over four years.
  • Patients were divided into RRP (n=187) and RALP (n=98) groups.
  • Frequency, types, and management of SSI complications were analyzed.

Main Results:

  • A significantly lower incidence of SSIs was observed in the RALP group (2%) compared to the RRP group (14.4%) (p<0.0001).
  • The median time from surgery to SSI diagnosis was similar between groups (13.5 days for RALP vs. 12.9 days for RRP, p=0.761).
  • RALP patients exclusively developed organ or space SSIs.

Conclusions:

  • RALP is associated with a substantially lower rate of surgical site infections compared to RRP.
  • While SSIs can occur in both procedures, RALP patients experienced fewer infections and predominantly organ/space types.
  • RALP offers a potential advantage in reducing SSI complications and treatment time post-prostatectomy.

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