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Cited 6 time in webofscience Cited 6 time in scopus
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Single-Port vs Multiport Robot-Assisted Radical Prostatectomy: A Propensity Score Matching Comparative Study

Authors
Noh, Tae IlKang, Young JinShim, Ji SungKang, Seok HoCheon, JunLee, Jeong GuKang, Sung Gu
Issue Date
May-2022
Publisher
Mary Ann Liebert Inc.
Keywords
robotic-assisted radical prostatectomy; da Vinci Single Port; prostate cancer
Citation
Journal of Endourology, v.36, no.5, pp 661 - 667
Pages
7
Indexed
SCIE
SCOPUS
Journal Title
Journal of Endourology
Volume
36
Number
5
Start Page
661
End Page
667
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/61180
DOI
10.1089/end.2021.0660
ISSN
0892-7790
1557-900X
Abstract
Purpose: The aim of this study was to compare the perioperative outcomes of patients who underwent single-port (SP) robot-assisted radical prostatectomy (RARP) (SP-RARP) with those who underwent multiport (MP) RARP (MP-RARP). Methods: Data on 40 consecutive patients who underwent SP-RARP between June 2020 and February 2021 and 129 who underwent MP-RARP between June 2019 and February 2021 were retrospectively reviewed. Using logistic regression, 31 patients who underwent SP-RARP were matched to 31 patients who underwent MP-RARP (1:1) based on propensity scores. The available perioperative parameters and outcomes were analyzed. Results: Compared with MP-RARP, SP-RARP showed no significant differences in perioperative parameters, including the console time (111.0 ± 15.7 vs 102.6 ± 18.8 minutes, p = 0.569), operation time (151.3 ± 15.1 vs 158.7 ± 20.3 minutes, p = 0.863), estimated blood loss (121.1 ± 64.7 vs 140.5 ± 90.5 mL, p = 0.638), positive surgical margins (19.4% in both groups), and 3-month continence (77.4% vs 83.9%, p = 0.563) and potency (45.2% vs 48.4%, p = 0.891) rates. Patients who underwent SP-RARP had lower proportions of complete nerve sparing than those who underwent MP-RARP (SP-RARP vs MP-RARP in subjective scores: 4.0 ± 0.8 vs 4.4 ± 0.9, p = 0.046; SP-RARP vs MP-RARP in pathologic score of 5, 35.5% vs 64.5%, p = 0.049; score of 4, 41.9% vs 19.4%, p = 0.038; score of 3, 19.4% vs 9.7%, p = 0.398; score of 2, 3.2% vs 0.0%, p = 0.365; and score of 1, 3.2% vs 3.2%, p = 0.932, respectively). Conclusions: SP-RARP showed lower nerve-sparing scores than MP-RARP. The present study suggests that SP-RARP is safe and feasible with short-term functional outcomes comparable to those of MP-RARP.
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Anam Hospital (Department of Urology, Anam Hospital)
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