Robot assisted radical prostatectomy in kidney transplant recipients: surgical, oncological and functional outcomes of two different robotic approaches
ABSTRACT Background: To date, few series on robot-assisted radical prostatectomy (RARP) in kidney transplant recipients (KTRs) have been published. Purpose: To report the experience of two referral centers adopting two different RARP approaches in KTRs. Surgical, oncological and functional results were primary outcomes evaluated in the study. Material and methods: We retrospectively analyzed data from 9 KTRs who underwent transperitoneal RARP or Retzius-sparing RARP for PCa from October 2012 to April 2016. Data were reported as median and interquartile range (IQR). Pre- and postoperative outcomes were compared by non-parametric Wilcoxon signed-rank test. Significant differences were accepted when p ≤ 0.05. Overall survival was assessed using Kaplan-Meier method. Results: Four KTRs underwent a T-RARP and 5 a RS-RARP. Patient median age was 60 (56-63) years. Charlson comorbidity index was 6 (5-6). Preoperative median PSA was 5.6 (5-15) ng / mL. Preoperative Gleason score (GS) was 6 in 5 patients, 7 (3 + 4) in 3, and 8 (4 + 4) in one. Pre- and postoperative creatinine were 1.17 (1.1; 1.4) and 1.3 (1.07; 1.57) mg / dL (p = 0.237), while eGFR was 66 (60-82) and 62 (54-81) mL / min / 1.73m2 (p = 0.553), respectively. One (11.1%) Clavien-Dindo grade II complication occurred. Two extended template lymphadenectomies were performed, both with nodal invasion. These two patients experienced a biochemical recurrence and were subjected to RT. Two patients (22.2%) had PSMs. Median follow-up was 42 months. Seven patients (77.8%) were continent, 5 (55.6%) were potent. Two (22.2%) patients died during follow-up for oncologic unrelated causes. Conclusions: Our series suggests that both RARP approaches are safe and feasible techniques in KTRs for PCa.
Main Authors: | Mistretta,Francesco Alessandro, Galfano,Antonio, Trapani,Ettore Di, Trapani,Dario Di, Russo,Andrea, Secco,Silvia, Ferro,Matteo, Musi,Gennaro, Bocciardi,Aldo Massimo, Cobelli,Ottavio de |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Sociedade Brasileira de Urologia
2019
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382019000200262 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
Robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach
by: Al-Yousef,Rawan, et al.
Published: (2017) -
Robotic assisted radical prostatectomy
by: Sampaio,Francisco J.B.
Published: (2007) -
Robotic prostatectomy: the anesthetist's view for robotic urological surgeries, a prospective study,
by: Oksar,Menekse, et al.
Published: (2014) -
Robotic assisted radical prostatectomy: surgical techniques and outcomes
by: Colombo Jr,Jose R., et al.
Published: (2007) -
Robotic Assisted Radical Cystoprostatectomy and Intracorporeal Ileal Conduit Urinary Diversion for a Kidney Transplant Recipient
by: Caputo,Peter A., et al.
Published: (2017)