Robotic-assisted prostatectomy and open radical retropubic prostatectomy for locally-advanced prostate cancer: multi-institution comparison of oncologic outcomes. (Record no. 5792)

MARC details
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fixed length control field 03575nam a22004457a 4500
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fixed length control field 201229s20132013 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2287-8882
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 24223399
245 ## - TITLE STATEMENT
Title Robotic-assisted prostatectomy and open radical retropubic prostatectomy for locally-advanced prostate cancer: multi-institution comparison of oncologic outcomes.
251 ## - Source
Source Prostate International. 1(1):31-6, 2013.
252 ## - Abbreviated Source
Abbreviated source Prostate int.. 1(1):31-6, 2013.
253 ## - Journal Name
Journal name Prostate international
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Year 2013
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Manufacturer FY2013
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2020-12-29
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Abstract CONCLUSIONS: Up to 2 out of 3 men undergoing RALP for locally-advanced PCa had positive margins during our initial experience. However, with increasing surgeon experience the overall positive margin rate decreased significantly and was comparable to the positive margin rate for patients with locally advanced disease undergoing ORRP over four academic institutions. We also noted a lower incidence of biochemical recurrence with increasing RALP experience, suggesting better oncologic outcomes with higher volume. Given this data, RALP has comparable oncologic outcomes compared to ORRP, especially with higher volume surgeons.
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Abstract METHODS: Patients with locally advanced PCa (stage T3 or greater) were identified in both robotic and open cohorts. Clinicopathologic features including age, clinical stage, prostate-specific antigen, surgical margins, and Gleason score were reviewed. We further examined the incidence of positive surgical margins, the effect of the surgical learning curve on margins, and the need for adjuvant therapy.
520 ## - SUMMARY, ETC.
Abstract PURPOSE: Robotic-assisted laparoscopic prostatectomy (RALP) offers reportedly comparable oncologic outcomes for localized disease compared with open radical retropubic prostatectomy (ORRP). However, the oncologic efficacy of RALP in locally-advanced prostate cancer (PCa) is less clear. We report and compare our experience with RALP and ORRP in men with locally advanced PCa.
520 ## - SUMMARY, ETC.
Abstract RESULTS: From 1997 to 2010, 1,011 patients underwent RALP and 415 patients were identified who underwent radical retropubic prostatectomy (RRP) across four institutions. 140 patients in the RALP group and 95 in the RRP group had locally advanced PCa on final pathology. The overall robotic positive margin rate 47.1% compared with 51.4% in the RRP group. A trend towards a lower positive margin rate was seen after 300 cases in the RALP group, with 66.7% positive margin rate in the first 300 cases compared with 41.8% in the latter 700 cases. In addition, a lower incidence of biochemical recurrence was also noted in the latter cases (30.6% vs. 9.5%).
546 ## - LANGUAGE NOTE
Language note English
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Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
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Institution MedStar Washington Hospital Center
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Department Urology
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Department Urology; Literature and Medicine
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Medline publication type Journal Article
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Local Authors Bandi, Gaurav
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Local Authors Ghasemian, Seyed RezaKW - Surgery/Transplant Surgery
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Local Authors Hwang, Jonathan J
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Local Authors Marchalik, Daniel
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Local Authors McGeagh, Kevin
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Local Authors Nissim, Hanaa G
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Local Authors Venkatesan, Krishnan
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Local Authors Verghese, Mohan
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Local Authors Vora, Anup A
790 ## - Authors
All authors Bandi G, Borges P, Ghasemian SR, Hwang JJ, Kowalczyk KJ, Lynch JH, Marchalik D, McGeagh KG, Nissim H, Uchio EM, Venkatesan K, Verghese M, Vora AA
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DOI <a href="https://dx.doi.org/10.12954/PI.12001">https://dx.doi.org/10.12954/PI.12001</a>
Public note https://dx.doi.org/10.12954/PI.12001
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/29/2020   24223399 24223399 12/29/2020 12/29/2020 Journal Article

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