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. After dividing the patients into two groups, we recorded their characteristics and pre-op/post-op evaluations. Results: There were 111 and 58 patients in groups 1 (with traction) and 2 (without traction), respectively. We evaluated the patients' ages, follow-up time, body mass index (BMI), prostate-specific antigen (PSA) values, pre-op and post-op Gleason score values, pathological stage, positive surgical margin rates, and biochemical PSA recurrence rates. There was no statistically significant difference between the groups for age, pre-op PSA values, BMI, pre-op and post-op Gleason scores, positive surgical margin rates and biochemical recurrence rates. There was a significant difference between prostate weight, tumor volume, and clinical stage. Conclusion: Removing the specimen with traction during robot-assisted laparoscopic radical prostatectomy does not cause a positive surgical margin. The incision should be as small as possible for cosmetic appearance.
Prostate cancer, radical prostatectomy, specimen, traction
ALTINOVA, SERKAN; İŞGÖREN, ABİDİN EGEMEN; AKBULUT, ZİYA; ÖZCAN, MUHAMMET FUAT; CANDA, ABDULLAH ERDEM; ATMACA, ALİ FUAT; and BALBAY, MEVLANA DERYA
"Removing the specimen with traction during robotic radical prostatectomy does not cause a positive surgical margin,"
Turkish Journal of Medical Sciences: Vol. 46:
6, Article 7.
Available at: https://journals.tubitak.gov.tr/medical/vol46/iss6/7