Clinical outcomes and costs of robotic surgery in prostate cancer

a multiinstitutional study in Korea

Ji Eun Yun, Na Rae Lee, Cheol Kwak, KoonHo Rha, Seong Il Seo, Sung Hoo Hong, Young Goo Lee, Dong Ah Park, Choung Soo Kim, Seon Heui Lee

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: This study compared the surgical, functional, and oncologic outcomes of robot-assisted laparoscopic radical prostatectomy (RALP), laparoscopic radical prostatectomy (LRP), and retropubic radical prostatectomy (RRP) in Korean men. Methods: The study population included 864 patients who underwent radical prostatectomy for prostate cancer in the departments of urology of five tertiary hospitals between 2010 and 2011. RALP, LRP, and RRP perioperative, oncological, and functional outcomes as well as complications were assessed. Medical cost data were analyzed for 682 of 864 patients. Results: No significant differences were found among the three groups regarding the length of stay, biochemical recurrence, complications, and metastasis. The RALP group had a significantly higher rate of pelvic lymph node dissection (64.6% vs. 35.3% or 53.3%, P value <0.0001) and bilateral nerve-sparing procedures (15.7% vs. 10.0% or 8.9%, P value <0.0001) and less blood loss (median 250 mL vs. 300 mL or 700 mL, P value <0.0001) than the LRP and RRP groups. The 12-month continence recovery rate was higher in the RALP group (92.1%) than in the LRP (86.5%) and RRP (84.4%) groups (P value <0.0001). Medical costs for RALP were approximately twofold to threefold higher than those for LRP or RRP. Conclusions: Our findings suggest that surgical and functional outcomes are better with robot-assisted surgery than with laparoscopic or open surgery in terms of estimated blood loss and urinary continence; however, no differences were found among groups in terms of biochemical recurrence and the rate of complications.

Original languageEnglish
Pages (from-to)19-24
Number of pages6
JournalProstate International
Volume7
Issue number1
DOIs
Publication statusPublished - 2019 Mar 1

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Robotics
Korea
Prostatectomy
Prostatic Neoplasms
Costs and Cost Analysis
Recurrence
Urology
Lymph Node Excision
Tertiary Care Centers
Laparoscopy

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Yun, Ji Eun ; Lee, Na Rae ; Kwak, Cheol ; Rha, KoonHo ; Seo, Seong Il ; Hong, Sung Hoo ; Lee, Young Goo ; Park, Dong Ah ; Kim, Choung Soo ; Lee, Seon Heui. / Clinical outcomes and costs of robotic surgery in prostate cancer : a multiinstitutional study in Korea. In: Prostate International. 2019 ; Vol. 7, No. 1. pp. 19-24.
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title = "Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea",
abstract = "Background: This study compared the surgical, functional, and oncologic outcomes of robot-assisted laparoscopic radical prostatectomy (RALP), laparoscopic radical prostatectomy (LRP), and retropubic radical prostatectomy (RRP) in Korean men. Methods: The study population included 864 patients who underwent radical prostatectomy for prostate cancer in the departments of urology of five tertiary hospitals between 2010 and 2011. RALP, LRP, and RRP perioperative, oncological, and functional outcomes as well as complications were assessed. Medical cost data were analyzed for 682 of 864 patients. Results: No significant differences were found among the three groups regarding the length of stay, biochemical recurrence, complications, and metastasis. The RALP group had a significantly higher rate of pelvic lymph node dissection (64.6{\%} vs. 35.3{\%} or 53.3{\%}, P value <0.0001) and bilateral nerve-sparing procedures (15.7{\%} vs. 10.0{\%} or 8.9{\%}, P value <0.0001) and less blood loss (median 250 mL vs. 300 mL or 700 mL, P value <0.0001) than the LRP and RRP groups. The 12-month continence recovery rate was higher in the RALP group (92.1{\%}) than in the LRP (86.5{\%}) and RRP (84.4{\%}) groups (P value <0.0001). Medical costs for RALP were approximately twofold to threefold higher than those for LRP or RRP. Conclusions: Our findings suggest that surgical and functional outcomes are better with robot-assisted surgery than with laparoscopic or open surgery in terms of estimated blood loss and urinary continence; however, no differences were found among groups in terms of biochemical recurrence and the rate of complications.",
author = "Yun, {Ji Eun} and Lee, {Na Rae} and Cheol Kwak and KoonHo Rha and Seo, {Seong Il} and Hong, {Sung Hoo} and Lee, {Young Goo} and Park, {Dong Ah} and Kim, {Choung Soo} and Lee, {Seon Heui}",
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Yun, JE, Lee, NR, Kwak, C, Rha, K, Seo, SI, Hong, SH, Lee, YG, Park, DA, Kim, CS & Lee, SH 2019, 'Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea', Prostate International, vol. 7, no. 1, pp. 19-24. https://doi.org/10.1016/j.prnil.2018.04.004

Clinical outcomes and costs of robotic surgery in prostate cancer : a multiinstitutional study in Korea. / Yun, Ji Eun; Lee, Na Rae; Kwak, Cheol; Rha, KoonHo; Seo, Seong Il; Hong, Sung Hoo; Lee, Young Goo; Park, Dong Ah; Kim, Choung Soo; Lee, Seon Heui.

In: Prostate International, Vol. 7, No. 1, 01.03.2019, p. 19-24.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Clinical outcomes and costs of robotic surgery in prostate cancer

T2 - a multiinstitutional study in Korea

AU - Yun, Ji Eun

AU - Lee, Na Rae

AU - Kwak, Cheol

AU - Rha, KoonHo

AU - Seo, Seong Il

AU - Hong, Sung Hoo

AU - Lee, Young Goo

AU - Park, Dong Ah

AU - Kim, Choung Soo

AU - Lee, Seon Heui

PY - 2019/3/1

Y1 - 2019/3/1

N2 - Background: This study compared the surgical, functional, and oncologic outcomes of robot-assisted laparoscopic radical prostatectomy (RALP), laparoscopic radical prostatectomy (LRP), and retropubic radical prostatectomy (RRP) in Korean men. Methods: The study population included 864 patients who underwent radical prostatectomy for prostate cancer in the departments of urology of five tertiary hospitals between 2010 and 2011. RALP, LRP, and RRP perioperative, oncological, and functional outcomes as well as complications were assessed. Medical cost data were analyzed for 682 of 864 patients. Results: No significant differences were found among the three groups regarding the length of stay, biochemical recurrence, complications, and metastasis. The RALP group had a significantly higher rate of pelvic lymph node dissection (64.6% vs. 35.3% or 53.3%, P value <0.0001) and bilateral nerve-sparing procedures (15.7% vs. 10.0% or 8.9%, P value <0.0001) and less blood loss (median 250 mL vs. 300 mL or 700 mL, P value <0.0001) than the LRP and RRP groups. The 12-month continence recovery rate was higher in the RALP group (92.1%) than in the LRP (86.5%) and RRP (84.4%) groups (P value <0.0001). Medical costs for RALP were approximately twofold to threefold higher than those for LRP or RRP. Conclusions: Our findings suggest that surgical and functional outcomes are better with robot-assisted surgery than with laparoscopic or open surgery in terms of estimated blood loss and urinary continence; however, no differences were found among groups in terms of biochemical recurrence and the rate of complications.

AB - Background: This study compared the surgical, functional, and oncologic outcomes of robot-assisted laparoscopic radical prostatectomy (RALP), laparoscopic radical prostatectomy (LRP), and retropubic radical prostatectomy (RRP) in Korean men. Methods: The study population included 864 patients who underwent radical prostatectomy for prostate cancer in the departments of urology of five tertiary hospitals between 2010 and 2011. RALP, LRP, and RRP perioperative, oncological, and functional outcomes as well as complications were assessed. Medical cost data were analyzed for 682 of 864 patients. Results: No significant differences were found among the three groups regarding the length of stay, biochemical recurrence, complications, and metastasis. The RALP group had a significantly higher rate of pelvic lymph node dissection (64.6% vs. 35.3% or 53.3%, P value <0.0001) and bilateral nerve-sparing procedures (15.7% vs. 10.0% or 8.9%, P value <0.0001) and less blood loss (median 250 mL vs. 300 mL or 700 mL, P value <0.0001) than the LRP and RRP groups. The 12-month continence recovery rate was higher in the RALP group (92.1%) than in the LRP (86.5%) and RRP (84.4%) groups (P value <0.0001). Medical costs for RALP were approximately twofold to threefold higher than those for LRP or RRP. Conclusions: Our findings suggest that surgical and functional outcomes are better with robot-assisted surgery than with laparoscopic or open surgery in terms of estimated blood loss and urinary continence; however, no differences were found among groups in terms of biochemical recurrence and the rate of complications.

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