Medicina Fluminensis, Vol. 61 No. 2, 2025.
Pregledni rad
https://doi.org/10.21860/medflum2025_330051
Peri- and postoperative complications and outcome after radical prostatectomy with open, laparoscopic, and robotic-assisted approach
Romano Oguić
; Clinical Hospital Center Rijeka, Department of Urology, Rijeka, Croatia; University of Rijeka, Faculty of Medicine, Department of Urology, Rijeka, Croatia
*
Louisa Haupt
; University of Rijeka, Faculty of Medicine, Rijeka, Croatia
Dražen Rahelić
; Clinical Hospital Center Rijeka, Department of Urology, Rijeka, Croatia; University of Rijeka, Faculty of Medicine, Department of Urology, Rijeka, Croatia
Nino Rubinić
; Clinical Hospital Center Rijeka, Department of Urology, Rijeka, Croatia; University of Rijeka, Faculty of Medicine, Department of Urology, Rijeka, Croatia
Klara Smolić
; Clinical Hospital Center Rijeka, Department of Urology, Rijeka, Croatia; University of Rijeka, Faculty of Medicine, Department of Urology, Rijeka, Croatia
Josip Španjol
; Clinical Hospital Center Rijeka, Department of Urology, Rijeka, Croatia; University of Rijeka, Faculty of Medicine, Department of Urology, Rijeka, Croatia
* Dopisni autor.
Sažetak
Prostate cancer ranks among the most prevalent malignancies globally. This study evaluated perioperative and postoperative complications following radical prostatectomy, comparing three distinct surgical approaches: the conventional open technique and two minimally invasive procedures-laparoscopic surgery and robotic-assisted surgery using the da Vinci system. The focus was on common complications, including urinary dysfunction, erectile dysfunction, blood loss, transfusion requirements, postoperative pain, length of hospital stay, and operative duration. The analysis highlighted notable differences among the surgical techniques, particularly in urinary and erectile dysfunction, blood loss, and transfusion rates. The findings underscored that the da Vinci robotic system represents a technologically advanced method, outperforming the other approaches in these aspects. Laparoscopic surgery yielded better outcomes compared to the open approach. Differences in hospital stay were minimal across all techniques. The comparative analysis of surgical techniques for radical prostatectomy indicates that the robotic-assisted approach is associated with reduced urinary and erectile dysfunction, lower blood loss, decreased transfusion rates, and shorter hospital stays, showcasing its advantages over the other two techniques. Laparoscopy demonstrated superior results compared to the open approach. However, the open technique had a shorter operative time, followed by robotic-assisted surgery and laparoscopy. Differences in hospital stay across the techniques were minor.
Ključne riječi
postoperative complications; prostatectomy; prostatic neoplasms; surgical procedures, operative
Hrčak ID:
330051
URI
Datum izdavanja:
1.6.2025.
Posjeta: 880 *