Are robot-assisted radical prostatectomies safe in patients over 65?
Authors:
prof. MUDr. Miloš Bro Ák, Ph.D.; MUDr. Josef Košina; MUDr. Michal Balík; MUDr. Petr Hušek; MUDr. Lukáš Holub; MUDr. Jaroslav Pacovský, Ph.D.
Authors‘ workplace:
Urologická klinika LF UK a FN Hradec Králové
Published in:
Geriatrie a Gerontologie 2019, 8, č. 2: 53-58
Category:
Original Article
Overview
Introduction. Radical prostatectomy is the most effective treatment method for prostate cancer. A robot-assisted approach is a minimally invasive method that is highly effective and also suitable for elderly patients. The cohort of patients who underwent robot-assisted radical prostatectomy over 65 years of age was retrospectively evaluated.
Material and Methodology. The evaluated group had 256 patients, and all underwent robot-assisted radical prostatectomy in the period 2016-2018. Surgical outcomes and complications were evaluated. Furthermore, the functional and preliminary oncologic results of this group were analysed.
Results. Median follow-up time was 18 months. The operating time was 186 minutes and the blood losses were 150 ml. The most common length of hospitalization was 3 or 4 days. Only two patients were temporarily transferred to the ICU after surgery. Urinary incontinence was recorded in 10% patients and urethral stricture in 0.7%. According to our preliminary oncologic results, overall survival was 100% and overall and cancer-specific mortality was zero. Only one patient had serious complications with the need for repeated reoperations.
Conclusion. Robot-assisted radical prostatectomy is also very suitable for elderly patients. The patient’s age only would not be the most important criterion.
Keywords:
prostate cancer – robot-assisted radical prostatectomy – elderly patients
Sources
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Labels
Geriatrics General practitioner for adults Orthopaedic prostheticsArticle was published in
Geriatrics and Gerontology
2019 Issue 2
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