Aim The aim of our study is to evaluate the status of positive margins (PSMs) comparing their incidence between aparoscopic radical prostatectomy (LRP) and robot assisted radical prostatectomy (RARP) in centers with medium case-load (50-150 cases/year). We also analyzed the correlations between surgical technique, nerve-sparing approach (NS), and incidence of PSMs, stratifying our results by pathological stage. Materials and methods We analyzed 1992 patients who underwent RP in various urologic centers. We evaluated the incidence of PSMs, and then we compared the stage-related incidence of PSMs, for both the techniques. Results We did not find a statistically significant difference between the two surgical modalities in the study regarding the overall incidence of PSMs. Conclusions In our retrospective study, we did not find any difference in terms of PSMs in RARP versus LRP. Our PSMs were not negligible, particularly in pT3 stages, compared with high-volume centers; surgical experience and patients’ selection can be a possible explanation.
Margini chirurgici positivi dopo prostatectomia radicale mini-invasiva: studio multicentrico [Positive surgical margin status after minimally invasive radical prostatectomy: a multicenter study] / Tafa, A.; Grasso, A.; Antonelli, A.; Bove, P.; Celia, A.; Ceruti, C.; Crivellaro, S.; Falsaperla, M.; Minervini, A.; Parma, P.; Porreca, A.; Zaramella, S.; De Lorenzis, E.; Cozzi, G.; Rocco, Bernardo Maria Cesare. - In: UROLOGIA. - ISSN 0391-5603. - 82:4(2015), pp. 229-237. [10.5301/uro.5000125]
Margini chirurgici positivi dopo prostatectomia radicale mini-invasiva: studio multicentrico [Positive surgical margin status after minimally invasive radical prostatectomy: a multicenter study]
ROCCO, Bernardo Maria Cesare
2015
Abstract
Aim The aim of our study is to evaluate the status of positive margins (PSMs) comparing their incidence between aparoscopic radical prostatectomy (LRP) and robot assisted radical prostatectomy (RARP) in centers with medium case-load (50-150 cases/year). We also analyzed the correlations between surgical technique, nerve-sparing approach (NS), and incidence of PSMs, stratifying our results by pathological stage. Materials and methods We analyzed 1992 patients who underwent RP in various urologic centers. We evaluated the incidence of PSMs, and then we compared the stage-related incidence of PSMs, for both the techniques. Results We did not find a statistically significant difference between the two surgical modalities in the study regarding the overall incidence of PSMs. Conclusions In our retrospective study, we did not find any difference in terms of PSMs in RARP versus LRP. Our PSMs were not negligible, particularly in pT3 stages, compared with high-volume centers; surgical experience and patients’ selection can be a possible explanation.File | Dimensione | Formato | |
---|---|---|---|
tafa2015.pdf
Accesso riservato
Tipologia:
VOR - Versione pubblicata dall'editore
Dimensione
870.94 kB
Formato
Adobe PDF
|
870.94 kB | Adobe PDF | Visualizza/Apri Richiedi una copia |
Pubblicazioni consigliate
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris