Comparison of renal function after robot - assisted laparoscopic radical prostatectomy versus retropubic radical prostatectomy



Título del documento: Comparison of renal function after robot - assisted laparoscopic radical prostatectomy versus retropubic radical prostatectomy
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000434857
ISSN: 1677-5538
Autors: 1
2
1
2
1
2
3
Institucions: 1Yuksek Ihtisas University, Medical Faculty, Ankara. Turquía
2Ankara Training and Research Hospital, Department of Urology Clinic, Ankara. Turquía
3Medstar Topcular Hospital, Department of Urology Clinic, Antalya. Turquía
Any:
Període: Ene-Feb
Volum: 45
Número: 1
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Purpose: To investigate the effect of robot assisted laparoscopic radical prostatectomy (RALP) and open retropubic radical prostatectomy (RRP) on early renal function in this study. Materials and Methods: Preoperative and postoperative urea, creatinine, Hb, eGFR values of patients who had undergone RALP and RRP with prostate cancer (PCa) diagnosis were recorded in our clinic. The percentages of change in these values are calculated. Preoperative and postoperative urea, creatinine, Hb and eGFR changes were compared with each other. Student-t test was used for intergroup comparison, and paired sample t test was used to compare changes between preoperative and postoperative values of the same group. Results: There were 160 and 93 patients in the RALP and RRP group, respectively. In the RALP group, postoperative urea and creatinine increased significantly compared to preoperative baseline values while eGFR was decreased (p = 0.0001, p = 0.001, p = 0.0001, respectively). Except for Hb in the RRP group, the changes in these values were statistically insignificant (p = 0.50, p = 0.75, p = 0.30, respectively). Conclusions: We should be more careful when we perform RALP in patients at risk of impaired renal function despite being a minimally invasive surgical method with superior visual characteristics
Disciplines Medicina
Paraules clau: Urología,
Cirugía,
Oncología,
Neoplasias,
Próstata,
Prostatectomía radical retropúbica,
Prostatectomía radical laparoscópica,
Estudios comparativos
Keyword: Urology,
Surgery,
Oncology,
Neoplasms,
Prostate,
Radical retropubic prostatectomy,
Laparoscopic radical prostatectomy,
Comparative studies
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