Robotic-assisted laparoscopic radical prostatectomy: initial outcomes of 500 cases

Kayhan Yılmaz, Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
Ali Ayrancı, Department of Urology, University of Health Sciences, Haseki Training and Research Hospital, İstanbul, Turkey
Eren Erdi, Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
Çağatay Özsoy, Urology Service, Abdulkadir Yüksel Public Hospital, Gaziantep. Turkey
Mahmut Taha-Ölçücü, Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
Mahmut Ekrem-İslamoğlu, Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
Murat Savaş, Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
Mutlu Ateş, Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey

Introduction: We aimed to present our experience of robot-assisted laparoscopic radical prostatectomy (RARP). Material and Methods: The study was a retrospective review of 500 patients who underwent RARP between March 2015 and July 2021 in our clinic. A transperitoneal approach was used in all patients. All patients had clinically organ-confined prostate cancer (≤ cT2c). Results: The mean age of the patients was 64.6 ± 5.7 years. The median PSA was 11.4 ng/dL (range 0.3-92.7). The mean operative time was 183.5 min. Positive surgical margin rate was 19.4%. During a mean follow-up of 23.5 months, 96 patients (19.2%) received adjuvant radiotherapy due to the biochemical recurrence and 28 patients (16%) with lymph node positivity received early adjuvant hormone therapy. Considering the continence rates, 69% of the patients were total continence in the 3rd month, while this rate increased to 83 in the 6th month and 91% in the 12th month. Conclusion: RARP is a safe and feasible method for experienced centers with patient comfort, surgeon comfort, and successful oncological and functional results.

Keywords: Prostatectomy. Prostate cancer. Robotic. Outcomes.