Robot-assisted laparoscopic radical prostatectomy: perioperative outcomes of 1500 cases.
BACKGROUND
Robot-assisted laparoscopic radical prostatectomy (RALP) is an evolving minimally invasive treatment of for localized prostate cancer. We present our experience of 1500 consecutive cases with an analysis of perioperative outcomes.


METHODS
Fifteen hundred consecutive RALPs were performed by a single surgeon (VRP). Following Institutional Review Board approval, clinical coordinators performed prospective intraoperative and postoperative data collection. Functional outcomes were assessed using validated self-administered questionnaires.


RESULTS
Mean OR time from skin incision to fascial closure (the time that the surgeon was present) was 105 minutes (55-300). Mean EBL was 111 cc (50-500). Ninety-seven percent of patients were discharged home on postoperative day 1. The overall complication rate was 4.3% with no mortalities. The positive margin rate (PMR) was 9.3% overall. PMR was 4% for pT2, 34% for T3 and 40% for pathologic stage T4.


CONCLUSIONS
Our initial series represents one of the largest published series for perioperative outcomes of robotic assisted prostatectomy. Our data demonstrates the feasibility, safety and efficacy of the procedure.
Global Robotics Institute, Celebration Health-University of Central Florida, Orlando, Celebration, Florida 34747, USA. Vipul.Patel.Md@Flhosp.Org
Vipul R
VR
Patel
Kenneth J
KJ
Palmer
Geoff
G
Coughlin
Srinivas
S
Samavedi
D000714:Anastomosis, Surgical / Q000009:adverse effects; D016063:Blood Loss, Surgical; D003710:Demography; D006801:Humans; D007430:Intraoperative Care; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D011182:Postoperative Care; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery; D012371:Robotics; D013997:Time Factors; D016896:Treatment Outcome