Significance of positive surgical margin and how to minimize in robotic radical prostatectomy
نویسندگان
چکیده
منابع مشابه
Intrafascial dissection significantly increases positive surgical margin and biochemical recurrence rates after robotic-assisted radical prostatectomy.
INTRODUCTION Improved visualization and magnification in robot-assisted laparoscopic radical prostatectomy (RALRP) has tempted many urologists to dissect the neurovascular bundle closer to the prostate following the layers of the pseudo-capsule of the prostate. This might bear a higher risk of decreased tumor control. MATERIALS AND METHODS An analysis of a consecutive series of 186 patients w...
متن کاملRemoving the specimen with traction during robotic radical prostatectomy does not cause a positive surgical margin.
BACKGROUND/AIM The aim of this study was to gauge whether removal of a specimen with traction during robot-assisted laparoscopic radical prostatectomy causes a positive surgical margin or not. MATERIALS AND METHODS One hundred and sixty-nine patients with localized prostate cancer who underwent robot-assisted laparoscopic radical prostatectomy from 2009 to 2011 were included in the study. Aft...
متن کاملClinical significance of surgical margin status in patients subjected to radical prostatectomy
The aim of this study is to evaluate the clinical value of positive surgical margins (PSM) in patients subjected to radical prostatectomy (RP). The data of men who were subjected to RP from the 1st of January, 2001 to the 30th of May, 2010 were analyzed. Specimens with PSM were again evaluated to confirm the presence of positive margins. PSM were found in 64 (25%) out of 255 analyzed patients. ...
متن کاملThe association between nerve sparing and a positive surgical margin during radical prostatectomy.
PURPOSE A positive surgical margin (SM) during radical prostatectomy (RP) increases risk of biochemical recurrence. We evaluated the effect of nerve-sparing procedures on risk of positive SM for pT2- and pT3-category tumors. We hypothesized that nerve sparing would increase rates of pT2 positive margins. METHODS We evaluated a historical cohort of 9,915 consecutive RP patients treated at The ...
متن کاملLaparoscopic radical prostatectomy with bladder neck preservation: positive surgical margin and urinary continence status
INTRODUCTION Preservation of the bladder neck (BN) has been controversial, as limited excision of the bladder neck may result in incomplete resection of the disease. Moreover, the urinary continence rate may not be improved. AIM To evaluate the effect of bladder neck sparing on urinary continence, and surgical margins status in prostate cancer (PCa) patients treated with laparoscopic radical ...
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ژورنال
عنوان ژورنال: Urology & Nephrology Open Access Journal
سال: 2018
ISSN: 2378-3176
DOI: 10.15406/unoaj.2018.06.00221