Long-term Oncologic Outcomes of Robotic-assisted Radical Prostatectomy by a Single Surgeon.

Abstract:

AIM:The aim of the study was to evaluate the long-term oncology outcomes of prostate cancer patients receiving robotic-assisted radical prostatectomy (RARP). PATIENTS AND METHODS:We retrospectively evaluated 111 patients with clinically-localized prostate cancer receiving RARP with a mean follow-up of 103.43 months. RESULTS:The 5-year BCRFS and 8-year BCRFS among low-, intermediate-, and high-risk patients were 95.5% vs. 77.1% vs. 53.7% and 95.5% vs. 61.2% vs. 48.1% (p=0.000). The median time to BCR in these three groups was 122.5, 98.0, and 79.2 months. Regarding postoperative factors, positive lymph node (HR=3.748, 95% CI=1.407-9.984), pathology Gleason score (HR=1.507, 95%CI=1.010-2.248), and postoperative nadir PSA <0.003 ng/ml (HR=0.058, 95%CI=0.020-0.166) were independent risk factors for BCR. CONCLUSION:D'Amico risk classification was effective at predicting biochemical recurrence in patients receiving RARP. Furthermore, postoperative risk factors such as metastatic lymph node, pathology Gleason score, and nadir PSA <0.003 ng/ml were independent predictors of biochemical recurrence.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Hung SC,Yang CK,Cheng CL,Ou YC

doi

10.21873/anticanres.11803

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

4157-4164

issue

8

eissn

0250-7005

issn

1791-7530

pii

37/8/4157

journal_volume

37

pub_type

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