Perioperative outcomes of robotic and laparoscopic simple prostatectomy: A european-American multi-institutional analysis

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dc.contributor.authorAutorino, Riccardo
dc.contributor.authorZargar, Homayoun
dc.contributor.authorMariano, Mirandolino B.
dc.contributor.authorSanchez-Salas, Rafael
dc.contributor.authorSotelo, René J.
dc.contributor.authorChlosta, Piotr L.
dc.contributor.authorCastillo, Octavio
dc.contributor.authorMatei, Deliu V.
dc.contributor.authorCelia, Antonio
dc.contributor.authorKoc, Gokhan
dc.contributor.authorVora, Anup
dc.contributor.authorAron, Monish
dc.contributor.authorParsons, J. Kellogg
dc.contributor.authorPini, Giovannalberto
dc.contributor.authorJensen, James
dc.contributor.authorSutherland, Douglas
dc.contributor.authorCathelineau, Xavier
dc.contributor.authorBragayrac, Luciano A.
dc.contributor.authorVarkarakis, Ioannis M.
dc.contributor.authorAmparore, Daniele
dc.contributor.authorFerro, Matteo
dc.contributor.authorGallo, Gaetano
dc.contributor.authorVolpe, Alessandro
dc.contributor.authorVuruskan, Hakan
dc.contributor.authorBandi, Gaurav
dc.contributor.authorHwang, Jonathan
dc.contributor.authorNething, Josh
dc.contributor.authorMuruve, Nic
dc.contributor.authorChopra, Sameer
dc.contributor.authorPatel, Nishant D.
dc.contributor.authorDerweesh, Ithaar
dc.contributor.authorWeeks, David Champ
dc.contributor.authorSpier, Ryan
dc.contributor.authorKowalczyk, Keith
dc.contributor.authorLynch, John
dc.contributor.authorHarbin, Andrew
dc.contributor.authorVerghese, Mohan
dc.contributor.authorSamavedi, Srinivas
dc.contributor.authorMolina, Wilson R.
dc.contributor.authorDias, Emanuel
dc.contributor.authorAhallal, Youness
dc.contributor.authorLaydner, Humberto
dc.contributor.authorCherullo, Edward
dc.contributor.authorDe Cobelli, Ottavio
dc.contributor.authorThiel, David D.
dc.contributor.authorLagerkvist, Mikael
dc.contributor.authorHaber, Georges-Pascal
dc.contributor.authorKaouk, Jihad
dc.contributor.authorKim, Fernando J.
dc.contributor.authorLima, Estevao
dc.contributor.authorPatel, Vipul
dc.contributor.authorWhite, Wesley
dc.contributor.authorMottrie, Alexander
dc.contributor.authorPorpiglia, Francesco
dc.date.accessioned2023-08-28T17:05:14Z
dc.date.available2023-08-28T17:05:14Z
dc.date.issued2015
dc.descriptionIndexación: Scopuses
dc.description.abstractBackground: Laparoscopic and robotic simple prostatectomy (SP) have been introduced with the aim of reducing the morbidity of the standard open technique. Objective: To report a large multi-institutional series of minimally invasive SP (MISP). Design, setting, and participants: Consecutive cases of MISP done for the treatment of bladder outlet obstruction (BOO) due to benign prostatic enlargement (BPE) between 2000 and 2014 at 23 participating institutions in the Americas and Europe were included in this retrospective analysis. Intervention: Laparoscopic or robotic SP. Outcome measurements and statistical analysis: Demographic data and main perioperative outcomes were gathered and analyzed. A multivariable analysis was conducted to identify factors associated with a favorable trifecta outcome, arbitrarily defined as a combination of the following postoperative events: International Prostate Symptom Score [removed]15 ml/s, and no perioperative complications. Results and limitations: Overall, 1330 consecutive cases were analyzed, including 487 robotic (36.6%) and 843 laparoscopic (63.4%) SP cases. Median overall prostate volume was 100 ml (range: 89-128). Median estimated blood loss was 200 ml (range: 150-300). An intraoperative transfusion was required in 3.5% of cases, an intraoperative complication was recorded in 2.2% of cases, and the conversion rate was 3%. Median length of stay was 4 d (range: 3-5). On pathology, prostate cancer was found in 4% of cases. Overall postoperative complication rate was 10.6%, mostly of low grade. At a median follow-up of 12 mo, a significant improvement was observed for subjective and objective indicators of BOO. Trifecta outcome was not significantly influenced by the type of procedure (robotic vs laparoscopic; p = 0.136; odds ratio [OR]: 1.6; 95% confidence interval [CI], 0.8-2.9), whereas operative time (p = 0.01; OR: 0.9; 95% CI, 0.9-1.0) and estimated blood loss ( p = 0.03; OR: 0.9; 95% CI, 0.9-1.0) were the only two significant factors. Retrospective study design, lack of a control arm, and limited follow-up represent major limitations of the present analysis. Conclusions: This study provides the largest outcome analysis reported for MISP for BOO/BPE. These findings confirm that SP can be safely and effectively performed in a minimally invasive fashion in a variety of healthcare settings in which specific surgical expertise and technology is available. MISP can be considered a viable surgical treatment in cases of large prostatic adenomas. The use of robotic technology for this indication can be considered in centers that have a robotic program in place for other urologic indications. Patient summary: Analysis of a large data set from multiple institutions shows that surgical removal of symptomatic large prostatic adenomas can be carried out with good outcomes by using robot-assisted laparoscopy. © 2014 European Association of Urology. Published by Elsevier B.V. All rights reserved.es
dc.description.urihttps://www-sciencedirect-com.recursosbiblioteca.unab.cl/science/article/pii/S0302283814012366?via%3Dihub
dc.identifier.citationEuropean Urology Volume 68, Issue 1, Pages 86 - 942015es
dc.identifier.doi10.1016/j.eururo.2014.11.044 V
dc.identifier.issn0302-2838
dc.identifier.urihttps://repositorio.unab.cl/xmlui/handle/ria/52870
dc.language.isoenes
dc.publisherElsevier B.V.es
dc.rights.licenseAtribución 4.0 Internacional (CC BY 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/deed.es
dc.subjectBenign prostatic hyperplasiaes
dc.subjectLaparoscopyes
dc.subjectOutcomeses
dc.subjectRobotic surgeryes
dc.subjectSimple prostatectomyes
dc.titlePerioperative outcomes of robotic and laparoscopic simple prostatectomy: A european-American multi-institutional analysises
dc.typeArtículoes
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