000			02876nam a22003737a 4500
008			220511s20222022 xxu||||| |||| 00| 0 eng d
022			_a0090-4295
024			_a10.1016/j.urology.2022.02.027 [doi]
024			_aS0090-4295(22)00284-9 [pii]
040			_aOvid MEDLINE(R)
099			_a35427674
245			_aPropensity-Score Matched Analysis Between Extraperitoneal Single Port and Intraperitoneal Multiport Radical Prostatectomy: A Single-Institutional Experience.
251			_aUrology. 2022 Apr 12
252			_aUrology. 2022 Apr 12
253			_aUrology
260			_c2022
260			_fFY2022
260			_p2022 Apr 12
265			_saheadofprint
266			_d2022-05-11
520			_aCONCLUSIONS: The single port robotic system is a safe option for localized prostate cancer treatment, offering superior pain control and comparable perioperative results and intermediate-term functional outcomes compared to the multiport robotic approach. Copyright © 2022. Published by Elsevier Inc.
520			_aMATERIALS AND METHODS: We evaluated all patients who underwent robotic prostatectomy by three urologic surgeons at our institution between January 2019 and October 2020. Demographic, intraoperative, and postoperative data were collected and assessed. Patients were matched based on body mass index, Gleason group, and prostate volume using the optimal matching method.
520			_aOBJECTIVES: To compare the perioperative results and intermediate-term functional outcomes of single port and multiport robotic-assisted laparoscopic prostatectomy by using a propensity-score analysis.
520			_aRESULTS: Overall, 98 and 165 patients underwent single port and multiport robotic prostatectomy, respectively. Following propensity-score matching, 98 multiport cases were matched 1:1 to single port cases. The median operative time was lower for multiport (111.5 vs 147.0 minutes, p=0.0000). Single port had a lower median estimated blood loss (50.0 vs 75.0 mL, p=0.0006), pain score on postoperative day 0 (1.0 vs 2.0, p=0.0004), opioid use at postoperative day 1 (0.0 [IQR 0.0-5.0] vs 0.0 MME [IQR 0.0-7.5], p=0.0058), cumulative opioid use (2.0 vs 7.0 MME, p=0.0008), and lymph node yield (4.0 vs 7.0 nodes, p=0.0051). Single port had a greater percentage of men regain full erectile function by 6 months (23.8% vs 4.8%, p=0.002).
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656			_aUrology Residency-Categorical
657			_aJournal Article
700			_aLulla, Tina
790			_aAhmed M, Billah M, Harrison R, Koster H, Lovallo G, Lulla T, Rosa RS, Stifelman M, Zaifman J
856			_uhttps://dx.doi.org/10.1016/j.urology.2022.02.027 _zhttps://dx.doi.org/10.1016/j.urology.2022.02.027
942			_cART _dArticle
999			_c568 _d568