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

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

References

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