Journal article
M. Shahait, R. Dobbs, Jessica L Kim, Nancy Eldred, K. Liang, L. Huynh, T. Ahlering, V. Patel, David I. Lee
Journal of endourology, 2020
Journal of endourology, 2020
Semantic Scholar
DOI
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APA
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Shahait, M., Dobbs, R., Kim, J. L., Eldred, N., Liang, K., Huynh, L., … Lee, D. I. (2020). Perioperative and functional outcomes of Robot-assisted Radical Prostatectomy in Octogenarian Men. Journal of Endourology.
Chicago/Turabian
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Shahait, M., R. Dobbs, Jessica L Kim, Nancy Eldred, K. Liang, L. Huynh, T. Ahlering, V. Patel, and David I. Lee. “Perioperative and Functional Outcomes of Robot-Assisted Radical Prostatectomy in Octogenarian Men.” Journal of endourology (2020).
MLA
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Shahait, M., et al. “Perioperative and Functional Outcomes of Robot-Assisted Radical Prostatectomy in Octogenarian Men.” Journal of Endourology, 2020.
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@article{m2020a,
title = {Perioperative and functional outcomes of Robot-assisted Radical Prostatectomy in Octogenarian Men.},
year = {2020},
journal = {Journal of endourology},
author = {Shahait, M. and Dobbs, R. and Kim, Jessica L and Eldred, Nancy and Liang, K. and Huynh, L. and Ahlering, T. and Patel, V. and Lee, David I.}
}
Abstract
BACKGROUND The functional and oncological outcomes of robot-assisted radical prostatectomy [RARP] in octogenarians are not well studied. We sought to study the perioperative, functional, and oncological outcomes of RARP in octogenarian men.
METHODS Between January 2009-2019, 46 patients ≥ 80 years with localized prostate cancer underwent RARP in three high volume robotic urologic practices in USA. Clinical and pathological features, perioperative and postoperative complications were retrospectively evaluated. Functional outcomes for urinary and sexual function were collected via patient reported questionnaires. Continence was defined as the use of zero or one safety pad per day.
RESULTS The median [IQR] age was 81 [80-82], the mean [SD] operative time was 116.5 [36.4] minutes, and the mean [SD] blood loss was 132 [35.6] ml. All cases were completed robotically, no intra-operative complications were encountered, and the mean length of stay was 1.21 [0.78] days. Regarding, 30- and 90-day complication, nine patients had postoperative complications; 7 were Clavien-Dindo grade I-II, and two were Clavien-Dindo grade ≥ III. Post-RARP continence rate at 3 months, and 12 months were 68.4% and 84.8%, respectively.
CONCLUSIONS RARP represents a feasible option to treat prostate cancer in well selected octogenarian men. Careful patient selection and counseling is critical prior to offering surgical treatment for these men.