title: Oncologic results, functional outcomes, and complication rates of transperitoneal robotic assisted radical prostatectomy: single centre's experience.
abstract: BACKGROUND
  We report the operative details and short term oncologic and functional outcome of the first 334 Robotic-assisted radical prostatectomy experiences for organ confined prostate cancer
  
  
  METHODS
  From August 2009 to December 2012, details of 334 consecutive patients were retrospectively analyzed. The analyzed parameters included: preoperative, per-operative characteristics, postoperative minor and major complications, positive surgical margin continence, potency, and biochemical progression at the follow-up period.
  
  
  RESULTS
  The classical extrafascial, interfascial, intrafascial and fascia sparing radical prostatectomy were performed in 31, 41, 200, and 62 cases, respectively. The mean operation time was 213.8±90.1minutes, and the mean estimated blood loss was 116.1±58.9cc during operation. A nerve-sparing procedure was performed bilaterally in 198 (59.3%) cases and unilaterally in 126 (37.7%) cases. The catheter was removed on postoperative day 9, 1±1.9. Surgical margin was positive in 36 (10.7%) patients. The overall, pT2, pT3a and pT3b PSM rates were 8 (2.4%), 12 (3.6%), 16 (4.8%) respectively and PSM and BCR rates were not statistically different among four approach (P>.05). At the follow-up period, the continence rates were 74.4%, 80.4%, 80.5%, and 96.7% (P<.001), and previously potent patients' potency rates were 64.3%, 66.6%, 68.1%, and 74.5% (P>.05), in classic extrafascial, interfascial, intrafascial, and fascia sparing intrafascial prostatectomy, respectively.
  
  
  CONCLUSIONS
  RARP is a safe and feasible technique in treatment of localized prostate cancer. Fascia sparing approach has better continence rate. This results need to be supported by new prospective, randomized studies.
authors.affiliation: Department of Urology, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Estambul, Turquía.
authors.forename: A
authors.initials: A
authors.lastname: Ihsan-Tasci
authors.affiliation: Department of Urology, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Estambul, Turquía. Electronic address: simsek76@yahoo.com.
authors.forename: A
authors.initials: A
authors.lastname: Simsek
authors.affiliation: Department of Urology, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Estambul, Turquía.
authors.forename: M B
authors.initials: MB
authors.lastname: Dogukan-Torer
authors.affiliation: Department of Urology, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Estambul, Turquía.
authors.forename: D
authors.initials: D
authors.lastname: Sokmen
authors.affiliation: Department of Urology, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Estambul, Turquía.
authors.forename: S
authors.initials: S
authors.lastname: Sahin
authors.affiliation: Department of Urology, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Estambul, Turquía.
authors.forename: A
authors.initials: A
authors.lastname: Bitkin
authors.affiliation: Department of Urology, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Estambul, Turquía.
authors.forename: V
authors.initials: V
authors.lastname: Tugcu
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D016063:Blood Loss, Surgical; D007172:Erectile Dysfunction / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D059351:Organ Sparing Treatments; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D011468:Prostatectomy / Q000379:methods* / Q000706:statistics & numerical data; D011471:Prostatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D012371:Robotics / Q000379:methods*; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology / Q000517:prevention & control
keywords: BCR; Continence; Continencia; Cáncer de próstata; MQP; PRAR; PSM; Potencia; Potency; Prostate cancer; RARP; TRB