Mp52-15 Faster Both in Operative Time and Bowel Recovery From the Extraperitoneal Davinci Sp-Based Robot-Assisted Radical Prostatectomy: A Propensity Score Matching Analysis Compared to Transperitoneal Multiport Counterpart Applying the Same Surgical Technique

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy II (MP52)1 May 2024MP52-15 FASTER BOTH IN OPERATIVE TIME AND BOWEL RECOVERY FROM THE EXTRAPERITONEAL DAVINCI SP-BASED ROBOT-ASSISTED RADICAL PROSTATECTOMY: A PROPENSITY SCORE MATCHING ANALYSIS COMPARED TO TRANSPERITONEAL MULTIPORT COUNTERPART APPLYING THE SAME SURGICAL TECHNIQUE Young Hwii Ko, Jong Gyun Ha, Jae Yoon Jang, and Yeung Uk Kim Young Hwii KoYoung Hwii Ko , Jong Gyun HaJong Gyun Ha , Jae Yoon JangJae Yoon Jang , and Yeung Uk KimYeung Uk Kim View All Author Informationhttps://doi.org/10.1097/01.JU.0001008864.84854.b7.15AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To investigate the operative outcomes as well as the functional recovery both in urinary and bowel function after extraperitoneal single-port based robot-assisted radical prostatectomy (eSP-RARP) utilizing DaVinci SP system, compared to conventional transperitoneal multiport counterparts (tMP-RARP). METHODS: With exclusion criteria of volume +50g, suspicious rectal invasion, and node-positive disease, 50 consecutive cases (Since December 2021) with localized disease underwent eSP RARP by a single urologist maintaining surgical technique from 100 consecutive tMP-RARP cases (Since December 2020). Based on the risk-stratification parameters and the prostate volume, each group was matched to a 1:1 ratio and compared. RESULTS: The risk determinants, including baseline prostate-specific antigen (PSA) and pStage, became similar after the matching. The operative time, which was maintained in each group during the study period, was significantly faster in eSP-RARP groups than in tMP-RARP (149.2 vs. 163.2 minutes, p=.025), while the weight of the removed specimen (27.1 vs. 29.0 g, p=.420) and margin positivity (pT2, 14.7 % vs. 11.7%, p=.812) were similar. The date for the liquid diet (1.18 vs. 1.42 days, p=.016), gas-out (1.5 vs. 1.88 days, p=.003), and solid diet (2.26 vs. 3.22 days, p<.001) were significantly faster in the eSP-RARP group. Single-pad continence was restored within 6 months in all patients except for one patient in the tMP-RARP arm who had received a spinal cord injury 6 years prior to surgery. The single-pad continence dates (30.5 vs. 51.9 days, p=.145) and zero-pad continence dates (105.5 vs. 146.2 days, p=.210) were similar (Table 1). CONCLUSIONS: DaVinci SP-based RARP provided a faster recovery of bowel function and decreased the operative time in an extraperitoneal approach than the multiport counterpart by a conventional transperitoneal approach, even applying the same surgical techniques, maintaining acceptable continence outcomes. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e859 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Young Hwii Ko More articles by this author Jong Gyun Ha More articles by this author Jae Yoon Jang More articles by this author Yeung Uk Kim More articles by this author Expand All Advertisement PDF downloadLoading ...