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Eur Urol: In the treatment of local prostate cancer, which is better, open radical prostatectomy or robot-assisted laparoscopic prostatectomy?

 Last Update: 2021-10-20
 Source: Internet
 Author: User

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Radical prostatectomy for localized prostate cancer can reduce mortality
.

The 29-year follow-up of the SPCG-4 randomized trial showed that compared with observational waiting, radical prostatectomy patients can have an additional 2.

The 29-year follow-up of the SPCG-4 randomized trial showed that patients undergoing surgery can have an extra 2.

Although radical prostatectomy can reduce the mortality of patients with local prostate cancer, there is still insufficient research on the impact of different surgical techniques on mortality
.

However, there is still insufficient research on the impact of different surgical techniques on mortality.
However, there is still insufficient research on the impact of different surgical techniques on mortality.

Recently, researchers from Sweden published an article in "Eur Urol", evaluating the function and oncology of robot-assisted laparoscopic prostatectomy (RALP) and open retropubic radical prostatectomy (RRP) after 8 years The result situation
.

The function and oncology results of robot-assisted laparoscopic prostatectomy (RALP) and open retropubic radical prostatectomy (RRP) after 8 years were evaluated.
Robot-assisted laparoscopic prostatectomy (RALP) and open were evaluated.
The function and oncological results of retropubic radical prostatectomy (RRP) after 8 years

Between 2008 and 2011, researchers conducted a prospective, controlled and non-randomized trial at 14 centers in Sweden, recruiting 4003 patients
.

The functional outcome data of the two operations were evaluated through patient questionnaires before surgery, 12 months and 24 months after surgery, and 8 years

The results of the study found that there was no significant difference in urinary incontinence between RALP and RRP at 8 years after surgery (27% vs 29%; adjusted hazard ratio [aRR] 1.
05, 95% confidence interval [CI] 0.
90-1.
23)
.

The prevalence of erectile dysfunction in the RALP group was significantly lower (66% vs 70%; aRR 0.

Main results of patients 8 years after RALP and RRP

In summary, compared with RRP, PCSM 8 years after RALP is lower
.

The results confirmed that RALP is safe in oncology

Compared with RRP, PCSM was lower 8 years after RALP

Original source:

Anna Lantz, David Bock, Olof Akre et al.

Functional and Oncological Outcomes After Open Versus Robot-assisted Laparoscopic Radical Prostatectomy for Localised Prostate Cancer: 8-Year Follow-up

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