Robot-assisted extraperitoneal laparoscopic radical prostatectomy: experience in a high-volume laparoscopy reference centre.

Abstract:

OBJECTIVE:To describe our current procedure of robot-assisted laparoscopic radical prostatectomy (RALP), and to assess the effect of the learning curve on perioperative data, early oncological outcomes and functional results, as RALP has increasingly become a treatment option for men with localized prostate cancer. PATIENTS AND METHODS:In all, 206 consecutive men had a RALP between July 2001 and November 2008 for localized prostate cancer. Among the overall cohort, the 175 men operated on by the same surgeon were distributed into five groups according to the chronological order of the procedures. The mean follow-up after RALP was 18.3 months. Patient demographics, surgical data and postoperative variables were collected into a prospective database. Data were compared by chronological groups into single-surgeon cohort. RESULTS:The median operative time and blood loss were 140 min and 350 mL, respectively. The complication rate was 8.3%. Cancers were pT3-4 in 34.5%. The mean hospital stay and duration of bladder catheterization were 4.3 and 8.2 days, respectively. The rate of positive surgical margins (PSMs) was 17.2% in pT2 cancers. The recovery rate of continence was 98% at 12 months. Intraoperative time, blood loss and length of hospital stay were significantly improved after a short learning curve. The continence recovery, the rate and the length of PSM were also improved beyond the learning curve, but difference was not statistically significant. CONCLUSIONS:RALP is a safe and reproducible procedure and offers a short learning curve for experienced laparoscopic surgeons. Beyond the learning curve, continued experience might also provide further improvements in terms of operative, pathological and functional results.

journal_name

BJU Int

journal_title

BJU international

authors

Ploussard G,Xylinas E,Salomon L,Vordos D,Hoznek A,Abbou CC,De La Taille A

doi

10.1111/j.1464-410X.2009.09013.x

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

1155-60

issue

8

eissn

1464-4096

issn

1464-410X

pii

BJU9013

journal_volume

105

pub_type

杂志文章
  • Overexpression of high mobility group box 1 with poor prognosis in patients after radical prostatectomy.

    abstract:UNLABELLED:What's known on the subject? and What does the study add? Recent studies have indicated that high mobility group box 1 (HMGB1) is related to the development and progression of human carcinomas. However, further studies were required to confirm the roles played by HMGB1 in clinical prostate cancer treatment. ...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2012.11277.x

    authors: Li T,Gui Y,Yuan T,Liao G,Bian C,Jiang Q,Huang S,Liu B,Wu D

    更新日期:2012-12-01 00:00:00

  • Health-related quality of life and psychosocial factors in patients with prostate cancer scheduled for radical prostatectomy or external radiation therapy.

    abstract:OBJECTIVE:To assess whether baseline health-related quality of life (HRQOL) and psychosocial profiles differ in patients with prostate cancer scheduled for radical prostatectomy (RP) or external radiation therapy (ERT), as there is evidence that HRQOL is influenced by psychosocial factors (PFs), so that any variation a...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1046/j.1464-410x.2003.04321.x

    authors: Van Andel G,Visser AP,Hulshof MC,Horenblas S,Kurth KH

    更新日期:2003-08-01 00:00:00

  • Serenoa repens monotherapy for benign prostatic hyperplasia (BPH): an updated Cochrane systematic review.

    abstract:UNLABELLED:What's known on the subject? and What does the study add? For the past 30 years Serenoa repens has become a widely used phytotherapy in the USA and in Europe, mostly because of positive comparisons to α-blockers and 5α-reductase inhibitors. During the last 4 years we have seen two very high quality trials co...

    journal_title:BJU international

    pub_type: 杂志文章,评审

    doi:10.1111/j.1464-410X.2012.11172.x

    authors: MacDonald R,Tacklind JW,Rutks I,Wilt TJ

    更新日期:2012-06-01 00:00:00

  • Percutaneous nephrolithotomy for staghorn stones: a randomised trial comparing high-power holmium laser versus ultrasonic lithotripsy.

    abstract:OBJECTIVE:To compare high-power holmium laser lithotripsy (HP-HLL) and ultrasonic lithotripsy (US-L) for disintegration of staghorn stones during percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS:A non-inferiority randomised controlled trial was conducted between August 2011 and September 2014. Inclusion crite...

    journal_title:BJU international

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/bju.13418

    authors: El-Nahas AR,Elshal AM,El-Tabey NA,El-Assmy AM,Shokeir AA

    更新日期:2016-08-01 00:00:00

  • Long-term results of a combination of paclitaxel, cisplatin and gemcitabine for salvage therapy in male germ-cell tumours.

    abstract:OBJECTIVE:To retrospectively review the long-term activity, efficacy and toxicity of the combination of paclitaxel, cisplatin and gemcitabine (TPG) as third- or further-line chemotherapy in patients with germ-cell tumours (GCTs) who are not cured after at least two courses of standard-dose chemotherapy, high-dose chemo...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2009.08453.x

    authors: Nicolai N,Necchi A,Gianni L,Piva L,Biasoni D,Torelli T,Stagni S,Milani A,Pizzocaro G,Salvioni R

    更新日期:2009-08-01 00:00:00

  • Urinary, bowel and sexual health in older men from Northern Ireland.

    abstract:OBJECTIVES:To provide data on the prevalence of urinary, bowel and sexual dysfunction in Northern Ireland (NI), to act as a baseline for studies of prostate cancer outcomes and to aid service provision within the general population. SUBJECTS AND METHODS:A cross-sectional postal survey of 10 000 men aged ≥40 years in N...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/bju.14182

    authors: Donnelly DW,Donnelly C,Kearney T,Weller D,Sharp L,Downing A,Wilding S,Wright P,Kind P,Catto JWF,Cross WR,Mason MD,McCaughan E,Wagland R,Watson E,Mottram R,Allen M,Butcher H,Hounsome L,Selby P,Huws D,Brewster DH

    更新日期:2018-11-01 00:00:00

  • The management of secondary pelvi-ureteric junction obstruction - a comparison of pyeloplasty and endopyelotomy.

    abstract:OBJECTIVE:To review our experience in the management of secondary pelvi-ureteric junction obstruction (PUJO) comparing endopyelotomy with pyeloplasty. PATIENTS AND METHODS:We retrospectively analysed our database of 58 patients having undergone operative management of PUJO after failed primary management, including 41...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/bju.12454

    authors: Vannahme M,Mathur S,Davenport K,Timoney AG,Keeley FX Jr

    更新日期:2014-01-01 00:00:00

  • Transient receptor potential vanilloid 1 mediates nerve growth factor-induced bladder hyperactivity and noxious input.

    abstract:OBJECTIVES:To explore the role of transient receptor potential vanilloid 1 (TRPV1) in the excitatory effects of chronic administration of nerve growth factor (NGF) on bladder-generated sensory input and reflex activity. To explore new therapeutic targets for bladder dysfunction. MATERIALS AND METHODS:Wild-type (WT) an...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2012.11187.x

    authors: Frias B,Charrua A,Avelino A,Michel MC,Cruz F,Cruz CD

    更新日期:2012-10-01 00:00:00

  • The utility of lactate dehydrogenase in the follow-up of testicular germ cell tumours.

    abstract:OBJECTIVE:To evaluate the utility of lactate dehydrogenase (LDH), a tumour marker that is frequently elevated at diagnosis and relapse of testicular germ cell tumours (TGCTs), in the follow-up of TGCTs for detecting tumour relapse, as it has role as a prognostic factor but its role in follow-up is less certain. PATIEN...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2007.06905.x

    authors: Venkitaraman R,Johnson B,Huddart RA,Parker CC,Horwich A,Dearnaley DP

    更新日期:2007-07-01 00:00:00

  • Primary magnetic resonance imaging/ultrasonography fusion-guided biopsy of the prostate.

    abstract:OBJECTIVE:To examine the performance of a primary magnetic resonance imaging (MRI)/ultrasonography (US) fusion-guided targeted biopsy (TB), and in combination with an added systematic biopsy (SB). PATIENTS AND METHODS:Analysis of 318 consecutive biopsy-naïve men with suspicious multiparametric MRI (mpMRI; Prostate Ima...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/bju.14212

    authors: Maxeiner A,Kittner B,Blobel C,Wiemer L,Hofbauer SL,Fischer T,Asbach P,Haas M,Penzkofer T,Fuller F,Miller K,Cash H

    更新日期:2018-08-01 00:00:00

  • An update on experience with the single-instrument port laparoscopic nephrectomy.

    abstract:OBJECTIVE:To describe a modification of the posterior prone retroperitoneoscopic nephrectomy, which allows the entire operation to be performed through a single instrument port. PATIENTS AND METHODS:With the patient prone, a retroperitoneal working space is created using a custom-made balloon lateral to the sacrospina...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2008.08232.x

    authors: Msezane LP,Mushtaq I,Gundeti MS

    更新日期:2009-05-01 00:00:00

  • Multicentre prospective crossover study of the 'prostatic urethral lift' for the treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia.

    abstract:OBJECTIVE:To assess the clinical effect of the 'prostatic urethral lift' (PUL) on lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) through a crossover design study. PATIENTS AND METHODS:Men aged ≥ 50 years with an International Prostate Symptom Score of ≥ 13, a maximum urinary flo...

    journal_title:BJU international

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/bju.12540

    authors: Cantwell AL,Bogache WK,Richardson SF,Tutrone RF,Barkin J,Fagelson JE,Chin PT,Woo HH

    更新日期:2014-04-01 00:00:00

  • Solitary rib lesions showing prostate-specific membrane antigen (PSMA) uptake in pre-treatment staging 68 Ga-PSMA-11 positron emission tomography scans for men with prostate cancer: benign or malignant?

    abstract:OBJECTIVES:To determine the proportion of solitary rib lesions on pre-treatment 68 Gallium-labelled prostate-specific membrane antigen (PSMA)/computed tomography (CT) scans in men with prostate cancer that are malignant and examine any predictive factors. PATIENTS AND METHODS:This retrospective single tertiary referra...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/bju.15152

    authors: Chen MY,Franklin A,Yaxley J,Gianduzzo T,McBean R,Wong D,Tatkovic A,McEwan L,Walters J,Kua B

    更新日期:2020-09-01 00:00:00

  • Risk of new-onset diabetes mellitus and worsening glycaemic variables for established diabetes in men undergoing androgen-deprivation therapy for prostate cancer.

    abstract::OBJECTIVE To investigate the incidence of new-onset diabetes mellitus (NODM) and of worsening glycaemic control in established DM after starting androgen-deprivation therapy (ADT) for prostate cancer, as ADT is associated with altered body composition, potentially influencing insulin sensitivity. PATIENTS AND METHODS ...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2007.07184.x

    authors: Derweesh IH,Diblasio CJ,Kincade MC,Malcolm JB,Lamar KD,Patterson AL,Kitabchi AE,Wake RW

    更新日期:2007-11-01 00:00:00

  • Focal laser interstitial thermotherapy (LITT) at 980 nm for prostate cancer: treatment feasibility in Dunning R3327-AT2 rat prostate tumour.

    abstract:OBJECTIVE:To examine the feasibility and reproducibility of laser interstitial thermotherapy (LITT) as a minimally invasive method for the treatment of prostate cancer. MATERIALS AND METHODS:Heterotopic tumours of prostatic adenocarcinoma (Dunning R3327-AT2) were induced in 10 male Copenhagen rats. After preoperative ...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2011.10406.x

    authors: Colin P,Nevoux P,Marqa M,Auger F,Leroy X,Villers A,Puech P,Mordon S,Betrouni N

    更新日期:2012-02-01 00:00:00

  • Lower urinary tract symptoms and related help-seeking behaviour in South Asian men living in the UK.

    abstract:OBJECTIVE:To describe the pattern and prevalence of lower urinary tract symptoms (LUTS) and related help-seeking behaviour in men of South Asian origin living in the UK, and to compare this to the white population. SUBJECTS AND METHODS:Data were obtained as part of the Leicestershire MRC Incontinence Study. Community-...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2006.06377.x

    authors: Taylor J,McGrother CW,Harrison SC,Assassa PR,Leicestershire MRC Incontinence Study Team.

    更新日期:2006-09-01 00:00:00

  • Assessing the anatomical characteristics of renal masses has a limited effect on the prediction of pathological outcomes in solid, enhancing, small renal masses: results using the PADUA classification system.

    abstract:OBJECTIVE:To evaluate whether assessing the anatomical characteristics of renal masses increases the accuracy of prediction of tumour pathology in small renal masses (SRMs). PATIENTS AND METHODS:We retrospectively reviewed 1129 consecutive patients who underwent extirpative surgeries for a clinical T1 renal mass, for ...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/bju.12446

    authors: Shin TY,Kim J,Koo KC,Lim SK,Kim DW,Kang MW,Rha KH,Choi YD,Ham WS

    更新日期:2014-05-01 00:00:00

  • Does obesity affect the accuracy of prostate-specific antigen (PSA) for predicting prostate cancer among men undergoing prostate biopsy.

    abstract:UNLABELLED:What's known on the subject? and what does the study add?: As most urologist known, obesity significantly lowers serum PSA levels. So there is some concern about delayed diagnosis of prostate cancer in obese men. In the present study, we found that the accuracy level of PSA for detecting prostate cancer was ...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2012.11766.x

    authors: Oh JJ,Jeong SJ,Lee BK,Jeong CW,Byun SS,Hong SK,Lee SE

    更新日期:2013-08-01 00:00:00

  • Native nephrectomy for autosomal dominant polycystic kidney disease: before or after kidney transplantation?

    abstract:UNLABELLED:Study Type - Therapy (case series). LEVEL OF EVIDENCE:4. What's known on the subject? and What does the study add? The indications and timing of native nephrectomy in patients with autosomal dominant polycystic kidney disease (ADPKD) is controversial, especially for those undergoing renal transplantation. P...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2010.09938.x

    authors: Kirkman MA,van Dellen D,Mehra S,Campbell BA,Tavakoli A,Pararajasingam R,Parrott NR,Riad HN,McWilliam L,Augustine T

    更新日期:2011-08-01 00:00:00

  • Predictive factors of ultrasonographic involution of prenatally detected multicystic dysplastic kidney.

    abstract:OBJECTIVE:To evaluate possible predictive factors of involution on ultrasonography (US) or disappearance of a prenatally detected multicystic dysplastic kidney (MCDK). PATIENTS AND METHODS:Forty-five children with unilateral MCDK detected by prenatal ultrasonography between 1989 and 2002 were analysed. All patients ex...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2005.05418.x

    authors: Rabelo EA,Oliveira EA,Silva GS,Pezzuti IL,Tatsuo ES

    更新日期:2005-04-01 00:00:00

  • Androgen deprivation therapy for prostate cancer and risk of dementia.

    abstract:OBJECTIVES:To study whether androgen deprivation therapy (ADT), the mainstay treatment for advanced and disseminated prostate cancer, is associated with risk of dementia. METHODS:Risk of dementia in men with prostate cancer primarily managed with ADT or watchful waiting (WW) in the Prostate Cancer Database Sweden, PCB...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/bju.14666

    authors: Robinson D,Garmo H,Van Hemelrijck M,Damber JE,Bratt O,Holmberg L,Wahlund LO,Stattin P,Adolfsson J

    更新日期:2019-07-01 00:00:00

  • Ureteric embolization with stainless-steel coils for managing refractory lower urinary tract fistula: a 12-year experience.

    abstract:OBJECTIVE:To report our 12-year experience with radiological treatment (ureteric embolization) for refractory urinary fistula, as malignancy, radiation therapy, and/or chronic inflammation increase the risk of lower urinary tract fistula after surgical urinary diversion, which can lead to significant morbidity, and for...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2006.06569.x

    authors: Shindel AW,Zhu H,Hovsepian DM,Brandes SB

    更新日期:2007-02-01 00:00:00

  • In vivo evaluation of the potency and bladder-vascular selectivity of the ATP-sensitive potassium channel openers (-)-cromakalim, ZD6169 and WAY-133537 in rats.

    abstract:OBJECTIVE:To compare in vivo the potency and bladder-vascular selectivity of ATP-sensitive potassium channel openers (KCOs) (-)-cromakalim, WAY-133537 and ZD6169 and a muscarinic antagonist, tolterodine in rats. MATERIALS AND METHODS:Bladder and arterial pressures were monitored simultaneously, before and after increa...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1046/j.1464-410x.2003.03069.x

    authors: Fabiyi AC,Gopalakrishnan M,Lynch JJ 3rd,Brioni JD,Coghlan MJ,Brune ME

    更新日期:2003-02-01 00:00:00

  • Detection of urinary leakage after radical retropubic prostatectomy by contrast enhanced ultrasound - do we still need conventional retrograde cystography?

    abstract:INTRODUCTION:To prospectively evaluate the accuracy of transvesical contrast-enhanced ultrasound (CEUS) as an alternative method for the detection of anastomotic leakage after radical retropubic prostatectomy (RRP) in comparison with the current standard method of conventional retrograde cystography (CG). PATIENTS AND...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2010.09497.x

    authors: Schoeppler GM,Buchner A,Zaak D,Khoder W,Staehler M,Stief CG,Reiser MF,Clevert DA

    更新日期:2010-12-01 00:00:00

  • Twelve prostate biopsies detect significant cancer volumes (> 0.5 mL).

    abstract:OBJECTIVES:To compare, in a retrospective study, pathological specimens of prostate cancer detected in additional areas of a 12-core biopsy with tumours detected using traditional sextant biopsy. PATIENTS AND METHODS:The study included 27 patients who had undergone radical prostatectomy (RP) for prostate cancer. Prost...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1046/j.1464-410x.2000.00558.x

    authors: Brössner C,Bayer G,Madersbacher S,Kuber W,Klingler C,Pycha A

    更新日期:2000-04-01 00:00:00

  • The role of reactive oxygen species in testicular dysfunction associated with varicocele.

    abstract:OBJECTIVE:To determine the level of malondialdehyde (MDA), an indirect indicator of lipid peroxidation-induced injury by reactive oxygen species, in testicular biopsy specimens from infertile patients with and without varicocele. PATIENTS AND METHODS:Levels of MDA were measured in the testicular biopsy specimens from ...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1046/j.1464-410x.2000.00755.x

    authors: Köksal IT,Tefekli A,Usta M,Erol H,Abbasoglu S,Kadioglu A

    更新日期:2000-09-01 00:00:00

  • Clinicopathological outcomes after radical cystectomy for clinical T2 urothelial carcinoma: further evidence to support the use of neoadjuvant chemotherapy.

    abstract:OBJECTIVE:To evaluate the clinicopathological outcomes for patients with clinical T2 (cT2) urothelial carcinoma treated with radical cystectomy (RC) without neoadjuvant chemotherapy (NC). PATIENTS AND METHODS:We identified 212 patients with cT2 tumours who underwent RC at our institution without NC. Pathological asses...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2010.09442.x

    authors: Canter D,Long C,Kutikov A,Plimack E,Saad I,Oblaczynski M,Zhu F,Viterbo R,Chen DY,Uzzo RG,Greenberg RE,Boorjian SA

    更新日期:2011-01-01 00:00:00

  • Chemotherapy for advanced adrenal cancer: improvement from a molecular approach?

    abstract::Advanced adrenal carcinoma remains a significant therapeutic challenge, with conventional approaches to systemic therapy having failed to achieve sustained objective remissions or major survival benefit in most instances. Several systemic therapies, including mitotane, suramin and gossypol, as well as cytotoxic agents...

    journal_title:BJU international

    pub_type: 杂志文章,评审

    doi:10.1111/j.1464-410X.2011.10464.x

    authors: Costa R,Wesolowski R,Raghavan D

    更新日期:2011-11-01 00:00:00

  • The prevalence of lower urinary tract symptoms in men and women in four centres. The UrEpik study.

    abstract:OBJECTIVE:To evaluate the epidemiology of lower urinary tract symptoms (LUTS) among men and women, as there are significant unanswered questions about the prevalence and impact of LUTS in different populations. SUBJECTS AND METHODS:A population-based, cross-sectional survey was completed in Boxmeer (the Netherlands), ...

    journal_title:BJU international

    pub_type: 杂志文章,多中心研究

    doi:10.1046/j.1464-410x.2003.04369.x

    authors: Boyle P,Robertson C,Mazzetta C,Keech M,Hobbs FD,Fourcade R,Kiemeney L,Lee C,UrEpik Study Group.

    更新日期:2003-09-01 00:00:00

  • The incidence of high-grade prostatic intraepithelial neoplasia and atypical glands suspicious for carcinoma on first-time saturation needle biopsy, and the subsequent risk of cancer.

    abstract:OBJECTIVE:To investigate the detection rate and extent of high-grade prostatic intraepithelial neoplasia (HGPIN) and atypical glands (AG) suspicious for prostate cancer, and the cancer risk in subsequent biopsies, diagnosed by a first 24-core saturation biopsy, as although the optimum extent of biopsy is controversial ...

    journal_title:BJU international

    pub_type: 杂志文章

    doi:10.1111/j.1464-410X.2006.06728.x

    authors: Schoenfield L,Jones JS,Zippe CD,Reuther AM,Klein E,Zhou M,Magi-Galluzzi C

    更新日期:2007-04-01 00:00:00