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Research Article
Ahmed Abdelbary
National Cancer Institute, Cairo University
Corresponding Author
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This work is licensed under a CC BY 4.0 License. Read Full License
Background
Robotic prostatectomy is showing progressive worldwide spread owing to potential clinical benefits, but at a higher cost.
Objective
This article describes the challenges and clinical outcome of the first group of patients undergoing robotic prostatectomy in Egypt.
Design, setting, participants
From 2017 to 2019, the data of all (55) patients undergoing robotic radical prostatectomy at the National Cancer Institute of Egypt was analyzed.
Outcome evaluation
Short term operative outcomes, complications, technical difficulties, pathologic data and biochemical recurrence were reported.
Results
Average blood loss was 296 ml; one patient required blood transfusion. One case required open conversion, another required re-docking of the robot. Setup time was significantly improved from an average of 27.7 minutes in the first 27 cases to an average of 17.3 minutes in the final 28 cases (p < 0.0001). Complications developed in 27% of our patients. Continence recovery at catheter removal, first, third, sixth and twelfth months were 32.7%, 50.9%, 65.5%, 74.5%, and 96%, respectively.
Conclusions
Results from the first series of robotic radical prostatectomy were encouraging. Technical challenges can be overcome in a short period. Acceptable complication rate and satisfactory outcomes regarding continence and blood loss were observed.
Keywords
Early experience, learning curve, technical difficulties, re-docking, open conversion.
Figure 1
No competing interests reported.
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research Article
Ahmed Abdelbary
National Cancer Institute, Cairo University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 26 Feb, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Urology & Nephrology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Robotic prostatectomy is showing progressive worldwide spread owing to potential clinical benefits, but at a higher cost.
Objective
This article describes the challenges and clinical outcome of the first group of patients undergoing robotic prostatectomy in Egypt.
Design, setting, participants
From 2017 to 2019, the data of all (55) patients undergoing robotic radical prostatectomy at the National Cancer Institute of Egypt was analyzed.
Outcome evaluation
Short term operative outcomes, complications, technical difficulties, pathologic data and biochemical recurrence were reported.
Results
Average blood loss was 296 ml; one patient required blood transfusion. One case required open conversion, another required re-docking of the robot. Setup time was significantly improved from an average of 27.7 minutes in the first 27 cases to an average of 17.3 minutes in the final 28 cases (p < 0.0001). Complications developed in 27% of our patients. Continence recovery at catheter removal, first, third, sixth and twelfth months were 32.7%, 50.9%, 65.5%, 74.5%, and 96%, respectively.
Conclusions
Results from the first series of robotic radical prostatectomy were encouraging. Technical challenges can be overcome in a short period. Acceptable complication rate and satisfactory outcomes regarding continence and blood loss were observed.
Figure 1
No competing interests reported.
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