Abstract:
OBJECTIVES:Robotic radical prostatectomy claims optimal oncologic results, minimal morbidity and best outcomes of urinary continence and erection function. Potential benefits concerning side effects and complications compared to open radical prostatectomy are analysed. METHODS:Out of 450 robotic radical prostatectomies performed, the last 210 patients aged 64 (41-78), PSA of 7.2 ng/ml (0.6-75) and body mass index of 27 (20-37) were assessed in detail using the Clavien's classification of surgical complications. In addition, a retrospective Medline based meta-analysis of 4,928 patients from eight centres involved was performed and compared to published data of open retropubic radical prostatectomy. RESULTS:In total 55/210 (26%) of the patients had complications, whereof 48/55 (87%) were minor (Clavien's grade I-IIIa). Complications (IIIb and IVa) with open reoperations occurred in 7/210 (3%) of the patients including three bleedings, two incarcerated small bowels, one perforation of a sigmoid diverticle and one trocar hernia. No IVb or V complication occurred. Overall robotic complication rate is very low and appears to be even less than in open series. Minor and major complications seem to decrease after 200 individual console surgeries. CONCLUSIONS:Robotic radical prostatectomy has proven to be a safe and reproducible surgical treatment with low morbidity. We encourage further trials using the same classification of complications to evaluate the morbidity of robotic prostatectomy conclusively in the near future.
journal_name
World J Uroljournal_title
World journal of urologyauthors
Fischer B,Engel N,Fehr JL,John Hdoi
10.1007/s00345-008-0287-7subject
Has Abstractpub_date
2008-12-01 00:00:00pages
595-602issue
6eissn
0724-4983issn
1433-8726journal_volume
26pub_type
杂志文章,meta分析,多中心研究abstract:PURPOSE:To compare the ability of Prostate Health Index (PHI) to diagnose csPCa, with that of total PSA, PSA density (PSAD) and the multiparametric magnetic resonance (mpMRI) of the prostate. METHODS:We analysed a group of 395 men planned for a prostate biopsy who underwent a mpMRI of the prostate evaluated using the ...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03397-4
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journal_title:World journal of urology
pub_type: 杂志文章,meta分析
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journal_title:World journal of urology
pub_type: 杂志文章,评审
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journal_title:World journal of urology
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journal_title:World journal of urology
pub_type: 杂志文章,评审
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
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journal_title:World journal of urology
pub_type: 杂志文章
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更新日期:1995-01-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
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journal_title:World journal of urology
pub_type: 杂志文章,随机对照试验
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更新日期:2017-07-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,评审
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journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
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更新日期:2013-10-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,随机对照试验
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更新日期:2017-10-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,评审
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更新日期:2018-12-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,评审
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更新日期:2017-03-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-018-2242-6
更新日期:2018-07-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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更新日期:2007-12-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-012-0932-z
更新日期:2013-04-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章,随机对照试验
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journal_title:World journal of urology
pub_type: 杂志文章
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更新日期:2020-09-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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更新日期:2006-06-01 00:00:00
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journal_title:World journal of urology
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更新日期:2010-08-01 00:00:00