Discussion On Feasibility Of Robot-assisted Laparoscopic Radical Prostatectomy For Locally Advanced Prostate Cancer

ObjectivesTo investigate the clinical feasibility of robot-assisted laparoscopic radical prostatectomy(RLRP)for patients with locally advanced prostate cancer(LAPC)compared with laparoscopic radical prostatectomy(LRP).MethodsWe retrospectively analyzed 27 cases of locally advanced prostate cancer treated by RARP and another 10 cases treated by LRP,Operative time,intraoperative blood loss and transfusion,catheter-indwelling time,postoperative hospital stay,incisal margin positive rate,postoperative urine leakage,rectal injury,pathological results were compared between the 2groups.ResultsAll the operations were successfully accomplished,the operative time,intraoperative blood transfusion,catheter-indwelling time,postoperative hospital stay,incisal margin positive rate,postoperative urine leakage,rectal injury and lymph node positive rate were not statistically different.However,intraoperative blood loss were higher in LRP group(P =0.01).ConclusionsRobot-assisted 1aparoscopic radical prostatectomy(RLRP)is safe,effective and feasible for patients with locally advanced prostate cancer.And it exhibited a significant superiority over LRP in intraoperative blood loss.However,it should be confirmed by further observations to explore its long-term therapeutic results.