中山醫學大學機構典藏 CSMUIR:Item 310902500/24412
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    题名: Retzius-sparing Robotic-assisted Radical Prostatectomy Facilitates Early Continence Regardless of Neurovascular Bundle Sparing
    作者: Liao, PC;Hung, SC;Hu, JC;Chiu, KY
    关键词: Robotic-assisted radical prostatectomy;Retzius-sparing approach;retropubic approach;continence
    日期: 2020
    上传时间: 2022-08-09T08:01:52Z (UTC)
    出版者: INT INST ANTICANCER RESEARCH
    ISSN: 0250-7005
    摘要: Background/Aim: Retzius-sparing robotic-assisted radical prostatectomy (RARP) has had better results in early continence rate and comparable oncological safety compared to the retropubic approach. However, the role the neurovascular bundle (NVB) sparing plays in the rate of early continence after catheter removal remains unclear. In this study, we sought to compare the early continence rate between Retzius-sparing RARP and the retropubic approach RARP to assess whether NVB sparing affects the continence rate in patients with prostate cancer. Patients and Methods: This was a retrospective case series of 133 patients who underwent RARP from 2004 to 2017. 92 patients underwent retropubic RARP and 41 patents underwent Retzius-sparing RARP. All procedures were performed by a single surgical team in a single institution. Baseline patient characteristics were recorded and analyzed. Continence results and oncological outcomes were compared between the two groups. Continence outcome of Retzius-sparing RARP with NVB sparing was also analyzed. Results: No differences in age, prostate size, pathology T stage, PSA, and NVB sparing were found between the two groups. The oncological results including surgical margin and biochemical recurrence rate at one year showed no difference between the two groups. With respect to immediate continence results, the Retzius-sparing group showed a better continence result compared to the retropubic approach (75.6% vs. 26.1 %, respectively, p<0.001) after catheter removal. However, there was no difference between the two groups after 6 months. Furthermore, no significant difference in immediate continence result was found in the Retzius-sparing group between patients with NVB sparing (75 %) and those without (75 % vs. 78%, respectively, p=1.00). Conclusion: Retzius-sparing RARP may provide a better immediate continent result compared to retropubic RARP. In Retzius-sparing RARP, NVB sparing did not enhance immediate continence after the operation.
    URI: http://dx.doi.org/10.21873/anticanres.14405
    https://www.webofscience.com/wos/woscc/full-record/WOS:000548505200017
    https://ir.csmu.edu.tw:8080/handle/310902500/24412
    關聯: ANTICANCER RESEARCH ,2020 ,v40 ,issue 7 ,p4075-4080
    显示于类别:[中山醫學大學研究成果] 期刊論文

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