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08-04-2022 | Prostate Cancer | Original Article

Effect of prostate and bony pelvic dimensions measured by preoperative magnetic resonance imaging on robot-assisted radical prostatectomy

Authors: Kayhan Yılmaz, Yasin Aktaş, Mahmut Taha Ölçücü, Eren Erdi Aksaray, Serdar Çakır, Mutlu Ateş

Published in: Journal of Robotic Surgery | Issue 6/2022

Abstract

Bone pelvic dimensions and body habitus may have effects on robot-assisted radical prostatectomy (RARP). In this study, we examined the effects of body mass index, bone pelvis measurements and prostate measurements on console time (CT), decrease in postoperative hemogram level (DHL) and surgical margin(SM) in patients who underwent RARP for clinically localized prostate cancer in our institution. The data of transperitoneal RARP cases performed by a single surgeon between November 2016 and August 2020 were analyzed retrospectively. It was included in 125 patients who met the study criteria. Bone and soft tissue measurements were made on magnetic resonance imaging T2-weighted imaging in the mid-sagittal and transvers plane. In multivariate linear regression analyzes, only soft tissue width/transverse diameter of the prostate and CT were found to be correlated (p = 0.026). For the DHL, no pelvic dimension and body habitus had a significant association on multivariate linear regression analysis. In multivariate analyzes, a statistically significant difference was found only between pathological Gleason Score and SM (p = 0.008). Although we found statistically significant associations between prostate diameters and pelvic bone measurements and operative difficulties, we believe that further studies are needed to confirm these results. Such information can help identify patients with challenging anatomy and can be used in robotic surgery training to achieve optimal patient outcomes after RARP.

Cole AP, Trinh QD, Sood A, Menon M (2017) The rise of robotic surgery in the New Millennium. J Urol 197(2S):S213–S215CrossRefPubMed

Patel VR, Thaly R, Shah K (2007) Robotic radical prostatectomy: outcomes of 500 cases. BJU Int 99(5):1109–1112CrossRefPubMed

Hong SK, Lee ST, Kim SS, Min KE, Hwang IS, Kim M et al (2009) Effect of bony pelvic dimensions measured by preoperative magnetic resonance imaging on performing robot-assisted laparoscopic prostatectomy. BJU Int 104(5):664–668CrossRefPubMed

Takenaka A, Tewari AK (2012) Anatomical basis for carrying out a state-of-the-art radical prostatectomy. Int J Urol 19(1):7–19CrossRefPubMed

Boczko J, Erturk E, Joseph JV (2007) Is there a proper pelvic size for an extraperitoneal robot-assisted radical prostatectomy? J Endourol 21(11):1353–1356CrossRefPubMed

Yao A, Iwamoto H, Masago T, Morizane S, Honda M, Sejima T, Takenaka A (2015) Anatomical dimensions using preoperative magnetic resonance imaging: impact on the learning curve of robot-assisted laparoscopic prostatectomy. Int J Urol 22(1):74–79CrossRefPubMed

von Bodman C, Matsushita K, Matikainen MP, Eastham JA, Scardino PT, Akin O, Rabbani F (2011) Do pelvic dimensions and prostate location contribute to the risk of experiencing complications after radical prostatectomy? BJU Int 108(10):1566–1571CrossRef

Ozkaptan O, Karadeniz T, Guzelburc V, Yilmaz K, Yılanoğlu O, Sahin S (2013) The effects of pelvic dimensions on radical retropubic prostatectomy. Can J Urol 20(3):6761–6767PubMed

Consultation WHOE (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363(9403):157–163CrossRef

10.

Briganti A, Larcher A, Abdollah F, Capitanio U, Gallina A, Suardi N (2012) Updated nomogram predicting lymph node invasion in patients with prostate cancer undergoing extended pelvic lymph node dissection: the essential importance of percentage of positive cores. Eur Urol 61(3):480–487CrossRefPubMed

11.

Boga MS, Sönmez MG, Karamık K, Yılmaz K, Savaş M, Ateş M (2020) The effect of peritoneal re-approximation on lymphocele formation in transperitoneal robot-assisted radical prostatectomy and extended pelvic lymphadenectomy. Turk J Urol 46(6):460–467CrossRefPubMedPubMedCentral

12.

Chang SS, Duong DT, Wells N, Cole EE, Smith JA, Cookson MS (2004) Predicting blood loss and transfusion requirements during radical prostatectomy: the significant negative impact of increasing body mass index. J Urol 171(5):1861–1865CrossRefPubMed

13.

Freedland SJ, Grubb KA, Yiu SK, Nielsen ME, Mangold LA, Isaacs WB, Epstein JI, Partin AW (2005) Obesity and capsular incision at the time of open retropubic radical prostatectomy. J Urol 174(5):1798–1801 (Discussion 1801)CrossRefPubMed

14.

Ahlering TE, Eichel L, Edwards R, Skarecky DW (2005) Impact of obesity on clinical outcomes in robotic prostatectomy. Urology 65(4):740–744CrossRefPubMed

15.

Mikhail AA, Stockton BR, Orvieto MA, Chien GW, Gong EM et al (2006) Robotic-assisted laparoscopic prostatectomy in overweight and obese patients. Urology 67(4):774–779CrossRefPubMed

16.

Wiltz AL, Shikanov S, Eggener SE, Katz MH, Thong AE, Steinberg GD et al (2009) Robotic radical prostatectomy in overweight and obese patients: oncological and validated-functional outcomes. Urology 73(2):316–322CrossRefPubMed

17.

Xu T et al (2015) Robot-assisted prostatectomy in obese patients: how influential is obesity on operative outcomes? J Endourol 29(2):198–208CrossRefPubMed

18.

Khaira HS, Wang X, Xia L, Zhang X, Qin L, Zhong S, Shen Z (2006) Does obesity influence the operative course or complications of robot-assisted laparoscopic prostatectomy. BJU Int 98(6):1275–1278 (Discussion 1278)CrossRefPubMed

19.

Hsu EI, Hong EK, Lepor H (2003) Influence of body weight and prostate volume on intraoperative, perioperative, and postoperative outcomes after radical retropubic prostatectomy. Urology 61(3):601–606CrossRefPubMed

20.

Singh A, Fagin R, Shah G, Shekarriz B (2005) Impact of prostate size and body mass index on perioperative morbidity after laparoscopic radical prostatectomy. J Urol 173(2):552–554CrossRefPubMed

21.

Zorn KC, Orvieto MA, Mikhail AA, Gofrit ON, Lin S, Schaeffer AJ (2007) Effect of prostate weight on operative and postoperative outcomes of robotic-assisted laparoscopic prostatectomy. Urology 69(2):300–305CrossRefPubMed

22.

Chang CM, Moon D, Gianduzzo TR, Eden CG (2005) The impact of prostate size in laparoscopic radical prostatectomy. Eur Urol 48(2):285–290CrossRefPubMed

23.

Rassweiler J, Sentker L, Seemann O, Hatzinger M, Rumpelt HJ (2001) Laparoscopic radical prostatectomy with the Heilbronn technique: an analysis of the first 180 cases. J Urol 166(6):2101–2108CrossRefPubMed

24.

El-Feel A, Davis JW, Deger S, Roigas J, Wille AH, Schnorr D (2003) Laparoscopic radical prostatectomy–an analysis of factors affecting operating time. Urology 62(2):314–318CrossRefPubMed

25.

D’Amico AV, Whittington R, Malkowicz SB, Schultz D, Tomaszewski JE, Wein A (1998) A prostate gland volume of more than 75 cm³ predicts for a favorable outcome after radical prostatectomy for localized prostate cancer. Urology 52(4):631–636CrossRefPubMed

26.

Freedland SJ, Isaacs WB, Platz EA, Terris MK, Aronson WJ, Amling CL et al (2005) Prostate size and risk of high-grade, advanced prostate cancer and biochemical progression after radical prostatectomy: a search database study. J Clin Oncol 23(30):7546–7554CrossRefPubMed

27.

Chen J, Chu T, Ghodoussipour S, Bowman S, Patel H, King K, Hung AJ (2019) Effect of surgeon experience and bony pelvic dimensions on surgical performance and patient outcomes in robot-assisted radical prostatectomy. BJU Int 124(5):828–835CrossRefPubMed

28.

Mason BM, Hakimi A, Faleck D, Chernyak V, Rozenblitt A, Ghavamian R et al (2010) The role of preoperative endo-rectal coil magnetic resonance imaging in predicting surgical difficulty for robotic prostatectomy. Urology 76(5):1130–1135CrossRefPubMed

29.

Matikainen MP, von Bodman CJ, Secin FP, Yunis LH, Vora K, Guillonneau B et al (2010) The depth of the prostatic apex is an independent predictor of positive apical margins at radical prostatectomy. BJU Int 106(5):622–626CrossRefPubMed

Title: Effect of prostate and bony pelvic dimensions measured by preoperative magnetic resonance imaging on robot-assisted radical prostatectomy
Authors: Kayhan Yılmaz
Yasin Aktaş
Mahmut Taha Ölçücü
Eren Erdi Aksaray
Serdar Çakır
Mutlu Ateş
Publication date: 08-04-2022
Publisher: Springer London
Keywords: Prostate Cancer
Magnetic Resonance Imaging
Magnetic Resonance Imaging
Prostate Cancer
Prostatectomy
Prostatectomy
Published in: Journal of Robotic Surgery / Issue 6/2022
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI: https://doi.org/10.1007/s11701-022-01402-z

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Effect of prostate and bony pelvic dimensions measured by preoperative magnetic resonance imaging on robot-assisted radical prostatectomy

Abstract

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Abstract

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