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Is Radical Perineal Prostatectomy a Viable Therapeutic Option for Intermediate- and High-risk Prostate Cancer?
Journal of Korean Medical Science ; : 1631-1637, 2015.
Artículo en Inglés | WPRIM | ID: wpr-66171
ABSTRACT
The aim of this study was to investigate a single-institution experience with radical perineal prostatectomy (RPP), radical retropubic prostatectomy (RRP) and minimally invasive radical prostatectomy (MIRP) with respect to onco-surgical outcomes in patients with intermediate-risk (IR; PSA 10-20 ng/mL, biopsy Gleason score bGS 7 or cT2b-2c) and high-risk (HR; PSA >20 ng/mL, bGS > or =8, or > or =cT3) prostate cancer (PCa). We retrospectively reviewed data from 2,581 men who underwent radical prostatectomy for IR and HR PCa (RPP, n = 689; RRP, n = 402; MIRP, n = 1,490 [laparoscopic, n = 206; robot-assisted laparoscopic, n = 1,284]). The proportion of HR PCa was 40.3%, 46.8%, and 49.5% in RPP, RRP, and MIRP (P < 0.001), respectively. The positive surgical margin rate was 23.8%, 26.1%, and 18.7% (P = 0.002) overall, 17.5%, 17.8%, and 8.8% (P < 0.001) for pT2 disease and 41.9%, 44.4%, and 40.0% (P = 0.55) for pT3 disease in men undergoing RPP, RRP, and MIRP, respectively. Biochemical recurrence-free survival rates among RPP, RRP, and MIRP were 73.0%, 70.1%, and 76.8%, respectively, at 5 yr (RPP vs. RPP, P = 0.02; RPP vs. MIRP, P = 0.23). Furthermore, comparable 5-yr metastases-free survival rates were demonstrated for specific surgical approaches (RPP vs. RPP, P = 0.26; RPP vs. MIRP, P = 0.06). RPP achieved acceptable oncological control for IR and HR PCa.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Perineo / Prostatectomía / Neoplasias de la Próstata / Prevalencia / Estudios Retrospectivos / Factores de Riesgo / Resultado del Tratamiento / Laparoscopía / Supervivencia sin Enfermedad / Procedimientos Quirúrgicos Mínimamente Invasivos Tipo de estudio: Estudio de etiología / Estudio observacional / Estudio de prevalencia / Factores de riesgo Límite: Adulto / Anciano / Aged80 / Humanos / Masculino País/Región como asunto: Asia Idioma: Inglés Revista: Journal of Korean Medical Science Año: 2015 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Perineo / Prostatectomía / Neoplasias de la Próstata / Prevalencia / Estudios Retrospectivos / Factores de Riesgo / Resultado del Tratamiento / Laparoscopía / Supervivencia sin Enfermedad / Procedimientos Quirúrgicos Mínimamente Invasivos Tipo de estudio: Estudio de etiología / Estudio observacional / Estudio de prevalencia / Factores de riesgo Límite: Adulto / Anciano / Aged80 / Humanos / Masculino País/Región como asunto: Asia Idioma: Inglés Revista: Journal of Korean Medical Science Año: 2015 Tipo del documento: Artículo