Robot-assisted radical prostatectomy in Brazil: preliminary results

• Main Authors: Jose Roberto Colombo Junior, Cássio Andreoni, Gustavo Caserta Lemos, Limírio Leal da Fonseca Filho, Daniel Luiz Di Pietro, Wilson Pinto, Camila Sardenberg, Alexandre Houlthausen Campos, José Carlos Teixeira, Luis Fernando Aranha Camargo, Miguel Cendoroglo Neto
• Format: Article
• Language: English
• Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2009-12-01
• Series: Einstein (São Paulo)
• Subjects: Prostatic neoplasms/surgery; Prostatectomy/methods; Robotics; Treatment outcome
• Online Access: http://apps.einstein.br/revista/arquivos/PDF/1294-Einsteinv7n4p488-93.pdf

Purpose: To report the initial experience on robot-assisted radical prostatectomy in Brazil. Methods: From March 2008 to March 2009, a hundred patients were treated with robot-assisted radical prostatectomy. Patient’s demographic data, as well as perioperative results of the procedures, are described in this study. Rresults: Patients’ mean age and mean PSA were 58 years and 7.58 ng/ml, respectively. All procedures were performed through transperitoneal approach, with a mean bleeding of 480 mL and surgical time of 298 minutes. A surgical margin affected by cancer was present in 16% of the cases. There were four complications: bleeding requiring transfusion (two cases), rectal perforation corrected on the spot and inadequate functioning of the robot. There was no conversion to another access or obit occurrences in this caseload. Cconclusions: Robot-assisted prostatectomy is a reality in Brazil and the results herein presented demonstrate that this procedure can be safely performed. Long-term follow-up is still necessary to assess the oncological and functional outcomes.