Sakarya Üniversitesi’nde Robot Yardımlı Laparoskopik Radikal Prostatektomi: Başlangıç Deneyimlerimiz

Year 2018, , 134 - 140, 26.03.2018

Hacı İbrahim Çimen , Hacı Can Direk Fikret Halis Osman Köse Ahmet Gökçe Hasan Salih Sağlam

https://doi.org/10.31832/smj.397942

Abstract

Amaç: Robot yardımlı laparoskopik radikal
prostatektomi (RYLRP) sonuçlarımızı sunmak.

Yöntem: Şubat 2015 – Aralık 2017 yılları arasında lokalize
prostat kanseri (PCa) nedeniyle Sakary Üniversitesi’nde RYLRP operasyonu
uygulanan  hastaların sonuçları
retrospektif olarak değerlendirildi.

Bulgular: Hastaların
ortalama takip süreleri 16.1 (1-36) ay olarak bulundu. Hastaların ortalama
yaşı 64.04 ± 6.33 yıl olarak saptandı. D’Amico risk sınıflamasına
göre hastaların 29’u (%60.4) düşük risk, 
13’ü (%27.1) orta risk ve 6’sı (%12.5) yüksek risk sınıfında saptandı. Ortalama
operasyon süresi 237.7 ± 48.07 dk, ortalama
tahmini kan kaybı 190.4 ± 65.8 ml olarak bulundu.
Ortalama dren çekilme süresi 3.93 ± 1.81 gün, ortalama hastanede kalış süresi
4.66 ± 1.91 gün, ortalama sonda çekilme süresi 14.1 ± 2.1 gün olarak bulundu.
On (%20,8) hastada cerrahi sınır pozitif saptandı. Kontinans oranları
postoperatif 1. ay, 6. ay ve 12. ay’da sırasıyla %50, %71.4 ve %85.2 olarak
bulundu. Potens oranları postoperatif 1. ay, 6. ay ve 12. ay’da sırasıyla
%37.5, %42.9 ve %51.2 olarak tespit edildi. Takiplerde 1 hastada biyokimyasal  nüks tespit edildi.

Sonuç: RYLRP lokalize PCa’nin
tedavisinde etkin ve güvenilir bir yöntemdir. Sonuçlarımız literatürle
uyumludur. Cerrahi tecrübe arttıkça daha iyi onkolojik ve fonksiyonel sonuçlar
alınacaktır.

Anahtar
kelime: Öğrenme eğrisi, prostat kanseri, robotik
cerrahi.    

Keywords

Öğrenme eğrisi, prostat kanseri

Robot Assisted Laparoscopic Radical Prostatectomy In Sakarya University: Our Initial Experience

Abstract

Objective: To present our robot assisted laparoscopic
radical prosatatectomy (RALRP) results.

Method: The results of patients who underwent RALRP
between February 2015 and December 2017 for localized prostate cancer (PCa) at
Sakarya University were retrospectively evaluated.

Results: Mean follow-up time was 16.1 (1-36) months.
The mean patient age was 64.04 ± 6.33 years. According to D’Amico risk
classification; 29 (60.4%) patients were found to have low risk, 13  (27.1%) patients have moderate risk and 6
(12.5%) patients have high risk. Mean operation time was 237.7 ± 48.07 min, mean estimated blood loss was 190.4 ± 65.8 ml. Mean draining time was 3.93 ± 1.81 days, mean
hospitalization time was 4.66 ± 1.91 days and mean catheterization time was 14.1
± 2.1 days. Surgical margin positivity was found in 10 (20.8%) patients. The
continent rate at postoperative 1th, 6th and 12th months were 50%, 71.4% and
85.2%; respectively. The potency rates at postoperative 1th, 6th and 12th
months were 37.5%, 42.9% and 51.2%; respectively. Biochemical recurrence was
detected in 1 patient at follow-up period.

Conclusion: RALRP is an effective and reliable method for localized PCa
treatment. Our results are consistent with the literature. Better oncologic and
functional results will be obtained as surgical experience increases.

Keywords

Lurning curve, prostate cancer

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