TY - JOUR
T1 - Robotic or open radical prostatectomy after previous open surgery in the Pelvic region
AU - Mustafa, Mahmoud
AU - Pettaway, Curtis A.
AU - Davis, John W.
AU - Pisters, Louis
N1 - Publisher Copyright:
© The Korean Urological Association, 2015.
PY - 2015
Y1 - 2015
N2 - Results: No conversions from robotic to open surgery were performed and there were no intraoperative complications. Surgical margins were positive in 13 patients (20%), seminal vesicle involvement was detected in 6 patients (9%), and lymph node involvement was found in 2 patients (3%). Postoperative complications included lymphocele in 1 patient, urethral stricture in 1 patient, and bowel obstruction and persistent bladder leakage in 2 patients. Eighty-eight percent of the patients were continent at 7 months and 80% of patients were able to achieve erection with or without medical aid.Purpose: We sought to evaluate the feasibility and safety of open or robotic radical prostatectomy (RP) after rectum, sigmoid, or colon surgery.Materials and Methods: Sixty-four patients with a median age of 65 years (range, 46–73 years) who underwent RP after previous pelvic surgery were included. Twenty-four patients (38%) underwent robotic RP and 40 patients (62%) underwent open RP. Bilateral lymph node dissection and nerve preservation were performed in 50 patients (78%) and 35 patients (55%), respectively. Variables evaluated included demographic characteristics, perioperative complications, and functional and oncological outcomes. The median hospitalization and follow-up periods were 2 days (range, 1–12 days) and 21 months (range, 1–108 months), respectively.Conclusions: Open or robotic RP can be done safely and effectively in patients who have previously undergone pelvic surgery. Although prior pelvic surgery of the large intestine was associated with increased morbidity, it should not be considered a contraindication for robotic or open RP.
AB - Results: No conversions from robotic to open surgery were performed and there were no intraoperative complications. Surgical margins were positive in 13 patients (20%), seminal vesicle involvement was detected in 6 patients (9%), and lymph node involvement was found in 2 patients (3%). Postoperative complications included lymphocele in 1 patient, urethral stricture in 1 patient, and bowel obstruction and persistent bladder leakage in 2 patients. Eighty-eight percent of the patients were continent at 7 months and 80% of patients were able to achieve erection with or without medical aid.Purpose: We sought to evaluate the feasibility and safety of open or robotic radical prostatectomy (RP) after rectum, sigmoid, or colon surgery.Materials and Methods: Sixty-four patients with a median age of 65 years (range, 46–73 years) who underwent RP after previous pelvic surgery were included. Twenty-four patients (38%) underwent robotic RP and 40 patients (62%) underwent open RP. Bilateral lymph node dissection and nerve preservation were performed in 50 patients (78%) and 35 patients (55%), respectively. Variables evaluated included demographic characteristics, perioperative complications, and functional and oncological outcomes. The median hospitalization and follow-up periods were 2 days (range, 1–12 days) and 21 months (range, 1–108 months), respectively.Conclusions: Open or robotic RP can be done safely and effectively in patients who have previously undergone pelvic surgery. Although prior pelvic surgery of the large intestine was associated with increased morbidity, it should not be considered a contraindication for robotic or open RP.
KW - Prostate
KW - Prostate neoplasms
KW - Prostatectomy
KW - Robotics
KW - Surgery
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U2 - 10.4111/kju.2015.56.2.131
DO - 10.4111/kju.2015.56.2.131
M3 - Article
C2 - 25685300
AN - SCOPUS:84922613178
SN - 2005-6737
VL - 56
SP - 131
EP - 137
JO - Korean Journal of Urology
JF - Korean Journal of Urology
IS - 2
ER -