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| Comparison of Postoperative Urinary Control Between Prostate Cancer Radical Operation with da Vinci Robot and Laparoscopic Prostate Cancer Radical Operation |
| XU Ting, CAO Dehong, CHEN Ye, et al |
| Institute of Urology / Department of Urology, West China Hospital, Sichuan University, Sichuan Chengdu 610041, China |
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Abstract Objective: To compare curative effect, postoperative urinary control and safety between prostate cancer (PCa) radical operation with da Vinci robot and laparoscopic PCa radical operation, and to provide reference for developing safe and effective surgical procedures for PCa patients. Methods: A total of 255 PCa patients who were admitted to the hospital from July 2018 to January 2019 were enrolled, and divided into laparoscopic group (laparoscopic PCa radical operation, n=170) and robot group (PCa radical operation with da Vinci robot, n=85). The operation time, intraoperative blood loss, recovery time of intestinal function, postoperative hospital stay and treatment cost were compared between the two groups. The urinary control status in both groups at 1 month, 6 months and 12 months after surgery was followed up. The incidence of complications was compared between the two groups. Before surgery, at 6 months and 12 months after surgery, quality of life in both groups was evaluated by expanded prostate cancer index composite (EPIC). Results: Compared with laparoscopic group, operation time, recovery time of intestinal function and postoperative hospital stay were significantly shorter in robot group, intraoperative blood loss was significantly less, while treatment cost was significantly higher (P<0.05). At 1 month and 6 months after surgery, urinary control rate in robot group was significantly higher than that in laparoscopic group (P<0.05). At 12 months after surgery, there was no significant difference in urinary control rate between the two groups (P>0.05). At 6 months and 12 months after surgery, there were significant differences in quality of life scores between the two groups (P<0.05). At 6 months and 12 months after surgery, total score of quality of life in robot group was significantly higher than that in laparoscopic group (P<0.05). The incidence of complications in robot group was significantly lower than that in laparoscopic group (P<0.05). Conclusion: Compared with laparoscopic PCa radical operation, PCa radical operation with da Vinci robot in treatment of PCa is of significant advantages in terms of promoting rehabilitation process, improving urinary control rate, improving prognosis and reducing complications. However, treatment cost of the latter is higher.
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2020, Vol. 26 
