Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press24510.17650/1726-9776-2011-7-3-112-118PROSTATE CANCERРАК ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫROBOT-ASSISTED LAPAROSCOPIC PROSTATECTOMY: OUR EXPERIENCEРОБОТ-АССИСТИРОВАННАЯ ЛАПАРОСКОПИЧЕСКАЯ ПРОСТАТЭКТОМИЯ: НАШ ОПЫТNesterovS. N.НестеровС. Н.
Russian Federation
strat.alex.80@gmail.comRogachikovV. V.РогачиковВ. В.
Russian Federation
strat.alex.80@gmail.comTevlinK. P.ТевлинК. П.
Russian Federation
strat.alex.80@gmail.comStratA. A.СтратА. А.
Russian Federation
strat.alex.80@gmail.comN.I. Pirogov National Medical Surgical Center, Ministry of Health and Social Development of Russia, MoscowФГУ Национальный медико-хирургический центр им. Н.И. Пирогова Минздравсоцразвития России, Москва30092011731121180308201403082014https://oncourology.abvpress.ru/oncur/article/view/245

Background. Retropubic radical prostatectomy (RPE) is now the gold standard of treatment for locally advanced prostate cancer (PC). However, robot-assisted RPE procedures using the da Vinci system are finding increasing acceptance.

Materials and methods. The authors conducted a prospective study of 60 robot-assisted prostatectomies made at the Clinic of Urology, N.I. Pirogov National Medical Surgical Center, in the period January 2009 to December 2010.

Results. The duration of an operation averaged 230 min; the average amount of blood loss was 200 ml. The mean duration of postoperative analgesia was 2,7 days. That of urinary catheterization was 8.5 days. A normal postoperative course was noted in most cases (88,4 %). Seven patients were found to have 8 (13,3 %) mild and moderate complications. A pathohistological study revealed a positive surgical margin of resection in 21,7 % of the patients, extracapsular tumor growth in 21,7 %, and seminal vesicle invasion in 23,3 %. Tumor-affected regional lymph nodes were detected in 1 (1,7 %) patient. In our observed series, 82 and 93 % of the subjects completely retained urine after 6 and 12 moths, respectively. Throughout the follow-up, erectile function recovered in 7 of the 15 patients undergoing a nerve-sparing surgical procedure.

Conclusion. Postoperative results in our series of interventions are comparable to those obtained in the studies by Russian and foreign colleagues at the early stage of mastering this procedure. By considering a few observations, it is today difficult to say that our study is valid in the context of evidence-based medicine. Estimation of the benefits of robot-assisted laparoscopic prostatectomy calls for long-term multicenter randomized trials.

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