Salvage Robotic-assisted Laparoscopic Radical Prostatectomy: Experience with 14 Cases.

Abstract:

AIM:To report the outcomes of salvage robot-assisted radical prostatectomy (S-RaRP). PATIENTS AND METHODS:Fourteen patients underwent S-RaRP. The mean initial prostatic-specific antigen level was 14.3 ng/ml and mean Gleason score was 6.93. Initial definitive treatment was external irradiation in 11 cases, cyberknife in two, and high-intensity focused ultrasound in one. Time from definitive treatment to S-RaRP was a mean of 36.5 months. RESULTS:The mean console time was 134.9 min and blood loss was 99.6 ml. Stage pT2N0, T3N0, and T3N1 were found in eight, four, and two cases, respectively. A positive surgical margin was found in 21.4% (3/14) of the patients. The continence rate was 71.4% (10/14). Mild stress urinary incontinence (one or two pads/day) was noted in 28.6% (4/14) of patients. Biochemical recurrence-free status was noted in 11 (78.5%) patients with a mean follow-up of 32.4 months. CONCLUSION:S-RaRP is feasible with a low complication rate, good continence rate, and an acceptable potency rate. The short-term oncological outcomes are encouraging.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Ou YC,Hung SC,Hwang LH,Yang CK,Hung SW,Tung MC

doi

10.21873/anticanres.11550

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

2045-2050

issue

4

eissn

0250-7005

issn

1791-7530

pii

37/4/2045

journal_volume

37

pub_type

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