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Effect of pelvimetric diameters on success of surgery in patients submitted to robot-assisted perineal radical prostatectomy
Yenice, Mustafa Gurkan; Yigitbasi, Ismail; Turkay, Rustu; Sahin, Selcuk; Tugcu, Volkan.
  • Yenice, Mustafa Gurkan; University of Health Sciences. Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital. Department of Urology. Istanbul. TR
  • Yigitbasi, Ismail; University of Health Sciences. Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital. Department of Urology. Istanbul. TR
  • Turkay, Rustu; University of Health Sciences. Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital. Department of Radiology. Istanbul. TR
  • Sahin, Selcuk; University of Health Sciences. Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital. Department of Urology. Istanbul. TR
  • Tugcu, Volkan; University of Health Sciences. Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital. Department of Urology. Istanbul. TR
Int. braz. j. urol ; 46(3): 425-433, May-June 2020. tab, graf
Article in English | LILACS | ID: biblio-1090618
ABSTRACT
ABSTRACT

Objective:

Minimally invasive techniques are used increasingly by virtue of advancements in technology. Surgery for prostate cancer, which has high morbidity, is performed with an increasing momentum based on the successful oncological and functional outcomes as well as cosmetic aspects. Materials and

methods:

Sixty two patients underwent robot-assisted perineal radical prostatectomy (R-PRP) surgery at our clinic between November 2016 and August 2017. Six pelvimetric dimensions were defined and measured by performing multiparametric magnetic resonance imaging (mpMRI) prior to operation in all patients. In light of these data, we aimed to investigate the effect of pelvimetric measurements on surgery duration and surgical margin positivity.

Results:

By using this technique in pelvic area, we observed that measurements only representing surgical site and excluding other pelvic organs had a significant effect on surgery duration, and pelvic dimensions had no significant effect on surgical margin positivity.

Conclusion:

In R-PRP technique, peroperative findings and oncological outcomes can vary depending on several variable factors, but although usually not taken into account, pelvimetric measurements can also affect these outcomes. However, there is a need for randomised controlled trials to be conducted with more patients.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Prostatectomy / Prostatic Neoplasms / Robotics / Robotic Surgical Procedures Type of study: Controlled clinical trial Limits: Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2020 Type: Article Affiliation country: Turkey Institution/Affiliation country: University of Health Sciences/TR

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Full text: Available Index: LILACS (Americas) Main subject: Prostatectomy / Prostatic Neoplasms / Robotics / Robotic Surgical Procedures Type of study: Controlled clinical trial Limits: Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2020 Type: Article Affiliation country: Turkey Institution/Affiliation country: University of Health Sciences/TR