Long-term oncological and functional results of robot-assisted radical prostatectomy

Prostate cancer (РСа), being one of the leading causes of cancer mortality in men in Russia and in a number of other countries of the world, remains an urgent problem for modern oncourology, and the choice of surgical method is an important task for a surgeon. Such a pronounced interest in robot-assisted radical prostatectomy (RARP) in patients is driven by good tolerance and effectiveness of these surgical interventions, despite the fact that radical prostatectomy is considered to be the "gold standard" for treatment of patients with clinically localized РСа with regard to European Association of Urology data. The long-term oncological and functional results and the quality of life of patients after RARP deserve close attention and thorough study. According to the data presented in this article, it is obvious that RARP is the preferred method for surgical treatment of РСа, since oncological and functional results in the long-term follow-up are comparable to the results after radical prostatectomy, and according to some authors, these results are superior to the results of radical prostatectomy. The results of the study will allow to continue further introduction of RARP into clinical practice and its popularization as a method of surgical treatment of patients with localized PCa, which will reduce the length of hospital stay of patients, accelerate their medical and social rehabilitation, and improve the quality of medical care.The amount of data on the study of distant oncological and functional results of RARP as well as its superiority over other treatment methods is limited in medical literature, which prompted us to conduct our own research. Currently the urological clinic of the A.I. Evdokimov Moscow State University of Medicine and Dentistry continues work aimed at studying the longterm results of RARP in the first patients in Russia.

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Functional outcome and quality of life in patients undergoing salvage radical prostatectomy (SRPE).

Journal of Clinical Oncology ◽

10.1200/jco.2018.36.6_suppl.212 ◽

2018 ◽

Vol 36 (6_suppl) ◽

pp. 212-212 ◽

Cited By ~ 1

Author(s):

David Pfister ◽

Jasmin Pullankavumkal ◽

Friederike Haidl ◽

Vahudin Zugor ◽

Tobias Kohl ◽

...

Keyword(s):

Quality Of Life ◽

Radical Prostatectomy ◽

Functional Outcome ◽

Functional Results ◽

High Rate ◽

Surgical Interventions ◽

Eortc Qlq ◽

Salvage Radical Prostatectomy

212 Background: Salvage radical prostatectomy is one option for patients with locally recurrent disease with proven long term oncologic control. There are concerns about worse functional results due to fibrotic tissue after radiotherapy and patients are treated with palliative systemic androgendreptivation. We retrospectively analyzed continence and quality of life in patients undergoing SRPE. Methods: After biopsy proven local recurrent prostate cancer 138 patients were offered SRPE and extended lymphadenectomy. Continence and quality of life had been collected before 6 and 12 months after surgery. Validated questionaires with ICIQ and EORTC qlq 30 had been used. Results: Präoperatively at 6 monts and 12 months the feed back was available in 93, 84 and 82 patients respectively. Präoperatively there was no or mild incontinence in 38(40.8%), moderate in 33 (35.5%) and strong incontinence in 22 (23.7%) of the patients. There is a significant decrease in the rate of continence after 6 and 12 months to no or mild in 19 (23.1%), moderate in 19 (23.2%) and strong incontinence in 44 (53.7%) of the patients. In 5 patients an artifitial sphinkter was implanted. Quality of life did not change significantly before and 12 months after surgery. Median value of Question 30 was 6 and five respectively. Conclusions: Patients need to be informed about a worse functional outcome and the potential need for further surgical interventions as artificial sphinkter implantion compared to primary radical prostatectomy. Quality of life seems to be affected only moderatly. Nevertheless there is already a rather high rate of any incontinence before surgery that needs to be taken into account.

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Acetabular Growth Potential in the Dysplastic and Normal Hip. A Long-Term Follow-Up

Hip International ◽

10.1177/112070009400400107 ◽

1994 ◽

Vol 4 (1) ◽

pp. 53-58

Author(s):

F. Specchiulli ◽

L. Scialpi ◽

G. Solafino ◽

L. Battelli ◽

L. Nitti

Keyword(s):

Surgical Treatment ◽

Hip Dislocation ◽

Normal Subjects ◽

Growth Potential ◽

Long Term Follow Up ◽

Definition Of ◽

Initial Correction

In CHD (Congenital Hip Dislocation), the elements which determine the degree and quality of acetabular growth are not clear. This has caused a great deal of controversy on the capability of development of the cotyloid cavity, hence on the indications to reconstructive surgical treatment. In order to study the behavior of che cotyloid cavity, two groups of patients were taken into consideration: normal subjects and subjects with CHD. In normal subjects the median value of the Hingelreiner angle was 19°–4'± 1° (normal limit), at 1 year old. The acetabular index decreases rapidly until becoming stable at adult values at the age of 8-10 years of age. The distinctive characteristics of the hip with spontaneous recovery from cotyloid dysplasia could be defined as follows: a) the higher critical value on average is reached after 24 months of treatment; b) once the borderline is reached, the dislocated hip evolves in the same way as the healthy hip; c) the earlier treatment is started, the sooner correction of the H angle is obtained; d) the cotyloid cavity continues to develop even after 5 years from reduction. In CHD with terminal residual dysplasia, an initial correction of the H angle is followed by a sudden interruption in acetabular development, which remains inadequate and will never reach normal values. These data allow not only the definition of the acetabular growth potential, but also the establishment of more precise indications for reconstructive surgical treatment.

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Three-dimensional printing in robot-assisted radical prostatectomy - an Idea, Development, Exploration, Assessment, Long-term follow-up (IDEAL) Phase 2a study

BJU International ◽

10.1111/bju.14189 ◽

2018 ◽

Vol 122 (3) ◽

pp. 360-361 ◽

Cited By ~ 17

Author(s):

Pankaj Chandak ◽

Nick Byrne ◽

Hugo Lynch ◽

Clare Allen ◽

Giles Rottenberg ◽

...

Keyword(s):

Radical Prostatectomy ◽

Three Dimensional ◽

Robot Assisted ◽

Three Dimensional Printing ◽

Long Term Follow Up ◽

Dimensional Printing

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Quality of life after surgical treatment of coarctation in long-term follow-up (CoAFU): Predictive value of clinical variables

International Journal of Cardiology ◽

10.1016/j.ijcard.2017.10.024 ◽

2018 ◽

Vol 250 ◽

pp. 116-119 ◽

Cited By ~ 3

Author(s):

Pinar Bambul Heck ◽

Jelena Pabst von Ohain ◽

Harald Kaemmerer ◽

Peter Ewert ◽

Alfred Hager

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Predictive Value ◽

Clinical Variables ◽

Long Term Follow Up

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EFFICACY OF GASTRODUODENAL ANASTOMOSIS IN SURGERY OF DISTAL STOMACH CANCER: FROM PAST TO PRESENT

Problems in oncology ◽

10.37469/0507-3758-2018-64-1-28-33 ◽

2020 ◽

Vol 64 (1) ◽

pp. 28-33

Author(s):

T. Morgoshiya

Keyword(s):

Functional Results ◽

Long Term Results ◽

Billroth Ii ◽

Distal Stomach ◽

Surgical Interventions ◽

Billroth I ◽

Results Of Treatment ◽

Operated Stomach

When comparing the results of surgical interventions in the modifications of Billroth-I and Billroth-II concerning carcinoma there are no significant differences both in immediate and in long-term results of treatment. At the same time the functional results of interventions and quality of life of patients are better after reconstruction of the digestive tract with the help of gastroduodenal anastomosis. Gastric stump cancer is more often occur after Billroth-II surgery. The main cause of the development of carcinoma in this case is the appearance of atrophic gastritis as a result of denervation of the organ and the transfer of bile to the operated stomach.

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Quality of Life Influenced by Primary Surgical Treatment for Stage I-III Breast Cancer--Long-Term Follow-Up of a Matched-Pair Analysis

Annals of Surgical Oncology ◽

10.1245/aso.2001.8.6.542 ◽

2001 ◽

Vol 8 (6) ◽

pp. 542-548 ◽

Cited By ~ 2

Author(s):

W. Janni

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Surgical Treatment ◽

Matched Pair ◽

Matched Pair Analysis ◽

Long Term Follow Up ◽

Pair Analysis

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Total Penetrating Keratoplasty: Indications, Therapeutic Approach, and Long-Term Follow-Up

Journal of Ophthalmology ◽

10.1155/2018/9580292 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Katarzyna Krysik ◽

Ewa Wroblewska-Czajka ◽

Anita Lyssek-Boron ◽

Edward A. Wylegala ◽

Dariusz Dobrowolski

Keyword(s):

Surgical Treatment ◽

Penetrating Keratoplasty ◽

Functional Results ◽

Line Treatment ◽

Chemical Burns ◽

Long Term Follow Up ◽

Complications Of Surgery ◽

Corneal Melting

Purpose. Evaluation of the indications, anatomical and functional results, and complications of total penetrating keratoplasty (TPK) in disorders involving whole cornea. Materials and Methods. We analyzed outcomes of the surgical treatment of 47 eyes of 46 patients that underwent TPK. Indications were infectious keratitis, autoimmune disease, injury of the eyeball (mainly chemical burns), and other combined disorders. The surgical technique involved dissection of affected tissues with a margin of 1.0 mm. The size of the corneal graft ranged from 10.0 to 14.0 mm. We analyzed indications, outcomes, and complications of surgery. Results. Final restoration of the ocular integrity and maintenance of the globe were achieved in 27 eyes (57%). More than one surgery was necessary in a total of 29 eyes (62%). The frequency of retransplantations did not vary significantly between the groups with different causes of corneal melting/perforation (63% of eyes with infection, 66% of eyes after trauma and 70% of eyes of patients with autoimmune disorders). Surgical treatment failed in 20 eyes (43%). Evisceration was necessary in 13 eyes (28%), phthisis occurred in 7 cases (15%). Conclusion. TPK should be considered as a last line treatment in huge corneal destruction to restore integrity of the eye globe.

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