PURPOSE: To compare the complications of radical retropubic prostatectomy (RRP) with those of robot-assisted laparoscopic prostatectomy (RALP) performed by a single surgeon for the treatment of prostate cancer. MATERIALS AND METHODS: The postoperative complications of 341 patients who underwent RRP and 524 patients who underwent RALP for prostate cancer at the Asan Medical Center between July 2007 and August 2012 were retrospectively reviewed and compared. Complications were classified according to the modified Clavien classification system. RESULTS: RALP was associated with a shorter length of hospital stay (mean, 7.9 days vs. 10.1 days, p<0.001) and duration of urethral catheterization (6.2 days vs. 7.5 days, p<0.001) than RRP. Major complications (Clavien grade III-IV) were less common in the RALP group than in the RRP group (3.4% vs. 7.6%, p=0.006). There were no significant differences in medical complications between procedures. Considering surgical complications, urinary retention (7.0% vs. 2.7%, p=0.002) and wound repair (4.1% vs. 0.2%, p<0.001) were more common after RRP than after RALP. Extravasation of contrast medium during cystography was more common in the RRP group than in the RALP group (10.0% vs. 2.1%, p<0.001). CONCLUSIONS: RALP is associated with a lower complication rate than RRP.
PURPOSE: To compare the complications of radical retropubic prostatectomy (RRP) with those of robot-assisted laparoscopic prostatectomy (RALP) performed by a single surgeon for the treatment of prostate cancer. MATERIALS AND METHODS: The postoperative complications of 341 patients who underwent RRP and 524 patients who underwent RALP for prostate cancer at the Asan Medical Center between July 2007 and August 2012 were retrospectively reviewed and compared. Complications were classified according to the modified Clavien classification system. RESULTS: RALP was associated with a shorter length of hospital stay (mean, 7.9 days vs. 10.1 days, p<0.001) and duration of urethral catheterization (6.2 days vs. 7.5 days, p<0.001) than RRP. Major complications (Clavien grade III-IV) were less common in the RALP group than in the RRP group (3.4% vs. 7.6%, p=0.006). There were no significant differences in medical complications between procedures. Considering surgical complications, urinary retention (7.0% vs. 2.7%, p=0.002) and wound repair (4.1% vs. 0.2%, p<0.001) were more common after RRP than after RALP. Extravasation of contrast medium during cystography was more common in the RRP group than in the RALP group (10.0% vs. 2.1%, p<0.001). CONCLUSIONS: RALP is associated with a lower complication rate than RRP.
Authors: Thomas E Ahlering; David Woo; Louis Eichel; David I Lee; Robert Edwards; Douglas W Skarecky Journal: Urology Date: 2004-05 Impact factor: 2.649
Authors: T R Herrmann; R Rabenalt; J U Stolzenburg; E N Liatsikos; F Imkamp; H Tezval; A J Gross; U Jonas; M Burchardt Journal: World J Urol Date: 2007-03-13 Impact factor: 4.226
Authors: Vincenzo Ficarra; Giacomo Novara; Walter Artibani; Andrea Cestari; Antonio Galfano; Markus Graefen; Giorgio Guazzoni; Bertrand Guillonneau; Mani Menon; Francesco Montorsi; Vipul Patel; Jens Rassweiler; Hendrik Van Poppel Journal: Eur Urol Date: 2009-01-25 Impact factor: 20.096
Authors: Jim C Hu; Nathanael D Hevelone; Marcos D Ferreira; Stuart R Lipsitz; Toni K Choueiri; Martin G Sanda; Craig C Earle Journal: J Urol Date: 2008-09-17 Impact factor: 7.450
Authors: Stefan Carlsson; Andreas E Nilsson; Martin C Schumacher; Martin N Jonsson; Daniela S Volz; Gunnar Steineck; Peter N Wiklund Journal: Urology Date: 2010-05 Impact factor: 2.649
Authors: Y Arai; S Egawa; K Tobisu; K Sagiyama; Y Sumiyoshi; K Hashine; M Kawakita; T Matsuda; K Matsumoto; H Fujimoto; T Okada; Y Kakehi; T Terachi; O Ogawa Journal: BJU Int Date: 2000-02 Impact factor: 5.588
Authors: A Nadu; L Salomon; A Hoznek; L E Olsson; F Saint; A de La Taille; A Cicco; D Chopin; C C Abbou Journal: J Urol Date: 2001-11 Impact factor: 7.450
Authors: Daniar K Osmonov; Amr A Faddan; Alexey V Aksenov; Carsten M Naumann; Leonid M Rapoport; Evgeny A Bezrukov; Dmitry G Tsarichenko; Klaus P Jünemann Journal: Turk J Urol Date: 2018-07
Authors: Abbas Basiri; Jean Jmch de la Rosette; Shahin Tabatabaei; Henry H Woo; M Pilar Laguna; Hamidreza Shemshaki Journal: World J Urol Date: 2018-01-23 Impact factor: 4.226