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13-06-2023 | Prostatectomy | Research

Quadrifecta outcomes and their predictors following robotic radical prostatectomy: a study of newly established robotic center in India

Authors: Amit Aggarwal, Mahendra Singh, Gautam Ram Choudhary, Vikram Singh, Arjun Singh Sandhu, Deepak Prakash Bhirud, Rahu Jena

Published in: Journal of Robotic Surgery | Issue 5/2023

Abstract

Active surveillance (AS), radical prostatectomy (RP), and radical radiotherapy (RT) are the three options for localized prostate cancer. Only a few studies have been conducted in developing countries or in centers in their initial learning curve that predict the outcomes of RARP. Therefore, this study aimed to present data from a novice center; how we started and progressed, and to compare our results with the rest of the world. This is a retrospective analysis to study the outcomes following robot-assisted radical prostatectomy and to identify the predictors of quadrifecta outcomes, i.e., the patients who were continent, did not have complications, were biochemical recurrence free with at least 1 year of follow-up and had negative surgical margins. In our data, we excluded the erectile function as one of the parameters as the majority of our patients were not sexually active or did not want to discuss this parameter. Seventy-two patients were included in this study, and 50 (69.4%) of these achieved the quadrifecta outcomes. Of all the factors, studied, seven factors were statistically significantly different between Group I (quadrifecta achieved) and Group II (quadrifecta not achieved), namely, BMI, co-morbidities like CAD, COPD, ASA grade, pre-op D’Amico risk stratification groups, clinical staging, positive lymph-node status, and hospital stay. With this study, we reported outcomes of RARP in a newly established robotic center and the results were fairly comparable with the well-developed center in India and abroad, emphasizing the short learning curve, and so, the requirement of establishing more robotic surgery centers in developing as well as developed countries.

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Title: Quadrifecta outcomes and their predictors following robotic radical prostatectomy: a study of newly established robotic center in India
Authors: Amit Aggarwal
Mahendra Singh
Gautam Ram Choudhary
Vikram Singh
Arjun Singh Sandhu
Deepak Prakash Bhirud
Rahu Jena
Publication date: 13-06-2023
Publisher: Springer London
Keywords: Prostatectomy
Prostatectomy
Prostate Cancer
Prostate Cancer
Published in: Journal of Robotic Surgery / Issue 5/2023
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI: https://doi.org/10.1007/s11701-023-01622-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Quadrifecta outcomes and their predictors following robotic radical prostatectomy: a study of newly established robotic center in India

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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