| Objective:A comparison was made between Da Vinci robot-assisted laparoscopic radical prostatectomy and conventional laparoscopic radical prostatectomy for the difference between postoperative and curative effects.Methods:A retrospective analysis was conducted from January 2013 to April 2016.206patients undergoing radical prostatectomy under the urology of the First Affiliated Hospital of Nanchang University were divided into two groups according to the different surgical methods.Among them,102 patients in the Da Vinci robot group and104 in the normal laparoscopic group were recorded as A and B groups,respectively,according to BMI and PSA.The Gleason scores were divided into subgroups,of which 75 patients(73.5%)were in robot A group with BMI<25 kg/m~2,84 patients(80.8%)in group B,and BMI?25 kg/m~2patients in group A(26.5%).20 patients(19.2%)in group B,42 patients(41.2%)in group A with PSA<20ng/ml,50 patients(48.1%)in group B,and 60 patients(58.8%)in group A with PSA?20ng/ml,B The group of 54 patients(51.9%);Gleason score<7 patients in group A 48 patients(47.1%),B group 51 patients(49.0%),Gleason score?7 patients in group A 54patients(52.9%),B group 53 patients(51.0%),The clinical data of these patients were collected,including operative time,intraoperative blood loss,postoperative hospital stay days,number of weeks of urine control recovery,postoperative pathology,postoperative PSA,etc.SPSS19.0 was used for statistical analysis of data.Two independent samples t-test was used for comparison between the two groups.The comparison of count data(comparative ratio of positive rate of resection margins)was performed using Chi-square.test.Results:By comparing the clinical data of 206 cases of prostate cancer patients,the results were obtained,in which BMI<25 kg/m~2 operative time in group A(246.8±39.9)minutes,group B was(264.8±71.4)minutes,intraoperative blood loss was in group A(137.3±108.7)milliliters,group B was(182.6±127.5)milliliters,The number of weeks of urinary control recovery was(2.28±0.6)weeks in group A and(2.5±0.8)weeks in group B.There was no significant difference between the two groups.The length of hospital stay was(7.7±3.1)days in group A and(10.9±3.1)days in group B,the difference was statistically significant;BMI?25 kg/m~2 postoperative urinary control recovery week group A2.4±0.6)weeks,group B(2.8±0.8)weeks,the difference was not statistically significant,operation time A Group(250.0±47.9)minutes,Group B(268.4±68.1)minutes,intraoperative blood loss A group(163.7±127)milliliters,B group(210.0±115.4)milliliters,postoperative hospital stay days A group(8.5±2.0)days,group B(11.7±3.5)days,the difference was statistically significant.The operative time of PSA was less than 20 ng/ml in group A(231.8±57.7)minutes,in group B(251.3±72.1)minutes,the blood loss in group A was(140.9±112.7)milliliters,and in group B was(184.8±126.3)milliliters.The number of urinary control recovery weeks was(2.6±0.6)weeks in group A and(2.8±0.8)weeks in group B.There was no significant difference between the two groups;the number of days of hospitalization was(8.5±3.2)days in group A and(11.5±5.9)days in group B.Statistically significant;PSA?20 ng/ml in postoperative urinary control recovery weeks in group A(2.8±0.6)weeks,group B(3.0±0.8)weeks,no statistically significant difference;intraoperative blood loss in group A(142.5±114.9)milliliters,group B(190.7±125.0)milliliters,operation time in group A(233.8±58.2)minutes,group B(294.2±62.8)minutes,postoperative hospital stay days in group A(9.2±2.7)days,group B(12.8±5.5)days,the difference was statistically significant;in Gleason<7 patients,the operation time was in group A(230.6±54.2)minutes,group B(251.8±66.0)minutes,blood loss in group A was(140.2±115.6)milliliters,B In group(174.1±128.9)milliliters,the number of weeks of postoperative urinary control recovery was(2.6±0.7)weeks in group A and(2.9±0.9)weeks in group B.There was no significant difference between the two groups;postoperative days of hospital stay in group A(9.2±3.0)days,group B(10.7±6.9)days,with significant difference;Gleason?7 patients in urine The number of weeks of recovery was(2.8±0.6)weeks in group A,and(3.0±0.8)weeks in group B.There was no significant difference between groups.The intraoperative blood loss was in group A(144.4±112.6)milliliters,group B(201.1±121.3)milliliters,operation time in group A(235.0±61.9)minutes,group B(294.5±68.8)minutes,postoperative hospital stay days in group A(9.6±2.8)days,group B(12.6±4.3)days,The difference was statistically significant.Conclusions:1.Both surgical methods are safe,feasible,and effective methods.2.Patients with BMI<25 kg/m~2and BMI?25 kg/m~2,or PSA<20 ng/ml and PSA?20 ng/ml,or Gleason score<7 and Gleason score?7,robotic assisted laparoscopic radical prostatectomy It has certain advantages in terms of operation time,intraoperative blood loss,postoperative days of hospitalization,and postoperative recovery of urine control weeks.3.Robotic assisted laparoscopic radical prostatectomy for patients with positive margin after surgery,biochemical recurrence rate is lower. |
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