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      저자 : Louis Pisters (검색결과 1 건)
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        Robotic or open radical prostatectomy after previous open surgery in the pelvic region

        Mahmoud Mustafa,Curtis A. Pettaway,John W. Davis,Louis Pisters 대한비뇨의학회 2015 Investigative and Clinical Urology Vol.56 No.2

        Purpose: We sought to evaluate the feasibility and safety of open or robotic radical prostatectomy (RP) after rectum, sigmoid, orcolon surgery. Materials and Methods: Sixty-four patients with a median age of 65 years (range, 46–73 years) who underwent RP after previouspelvic surgery were included. Twenty-four patients (38%) underwent robotic RP and 40 patients (62%) underwent open RP. Bilaterallymph node dissection and nerve preservation were performed in 50 patients (78%) and 35 patients (55%), respectively. Variablesevaluated included demographic characteristics, perioperative complications, and functional and oncological outcomes. Themedian hospitalization and follow-up periods were 2 days (range, 1–12 days) and 21 months (range, 1–108 months), respectively. Results: No conversions from robotic to open surgery were performed and there were no intraoperative complications. Surgicalmargins were positive in 13 patients (20%), seminal vesicle involvement was detected in 6 patients (9%), and lymph node involvementwas found in 2 patients (3%). Postoperative complications included lymphocele in 1 patient, urethral stricture in 1 patient,and bowel obstruction and persistent bladder leakage in 2 patients. Eighty-eight percent of the patients were continent at 7months and 80% of patients were able to achieve erection with or without medical aid. Conclusions: Open or robotic RP can be done safely and effectively in patients who have previously undergone pelvic surgery. Although prior pelvic surgery of the large intestine was associated with increased morbidity, it should not be considered a contraindicationfor robotic or open RP.

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