Robot‐assisted radical prostatectomy in the Korean population: A 5‐year propensity‐score matched comparative analysis versus open radical prostatectomy
DC Field | Value | Language |
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dc.contributor.author | Koo, Kyo Chul | - |
dc.contributor.author | Tuliao, Patrick | - |
dc.contributor.author | Yoon, YOUNG EUN | - |
dc.contributor.author | Chung, Byung Ha | - |
dc.contributor.author | Hong, Sung Joon | - |
dc.contributor.author | Yang, Seung Choul | - |
dc.contributor.author | Rha, Koon Ho | - |
dc.date.accessioned | 2022-07-16T03:34:16Z | - |
dc.date.available | 2022-07-16T03:34:16Z | - |
dc.date.created | 2021-05-13 | - |
dc.date.issued | 2014-08 | - |
dc.identifier.issn | 0919-8172 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/159323 | - |
dc.description.abstract | Objectives: To compare the oncological outcomes of robot-assisted laparoscopic radical prostatectomy with those of open radical prostatectomy in contemporary Korean prostate cancer patients. Methods: From a group of 1172 patients consisting of 592 (50.5%) robot-assisted laparoscopic radical prostatectomy and 580 (49.5%) open radical prostatectomy cases carried out between 1992 and 2008, 175 robot-assisted laparoscopic radical prostatectomy cases were matched with an equal number of open radical prostatectomy cases by propensity scoring based on patient age, preoperative prostate-specific antigen, biopsy Gleason score and clinical tumor stage. Competing-risks survival analyses were used to evaluate oncological outcomes, including rates of positive surgical margin, biochemical-recurrence, adjuvant therapy, cancer-specific survival, overall survival and metastasis-free survival during the mean follow up of 58.4 months. Results: Positive surgical margin rates were comparable between robot-assisted laparoscopic radical prostatectomy and open radical prostatectomy cohorts (19.4% vs 21.8%), with comparable rates for all pathological stages and risk subgroups. Positive surgical margin rates according to location were comparable, with the apical margin being the most common location. Robot-assisted laparoscopic radical prostatectomy recovered higher lymph node yields compared with open radical prostatectomy (12.5 vs 3.8; P < 0.001). The robot-assisted laparoscopic radical prostatectomy and the open radical prostatectomy groups showed equal oncological outcomes regarding 5-year biochemical recurrence-free survival (log-rank P = 0.651), metastasis-free survival (log-rank P = 0.876), cancer-specific survival (log-rank P = 0.076) and overall survival (log-rank P = 0.648), respectively. Between groups, there was no difference in the rate of adjuvant therapy, time to first adjuvant therapy failure or in the rate of subsequent secondary treatment. Conclusions: Robot-assisted laparoscopic radical prostatectomy represents an effective surgical approach for the treatment of prostate cancer in the Korean population, as it provides equivalent oncological outcomes to open radical prostatectomy. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | WILEY-BLACKWELL | - |
dc.title | Robot‐assisted radical prostatectomy in the Korean population: A 5‐year propensity‐score matched comparative analysis versus open radical prostatectomy | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Yoon, YOUNG EUN | - |
dc.identifier.doi | 10.1111/iju.12447 | - |
dc.identifier.scopusid | 2-s2.0-84905060632 | - |
dc.identifier.wosid | 000340194800011 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF UROLOGY, v.21, no.8, pp.781 - 785 | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF UROLOGY | - |
dc.citation.title | INTERNATIONAL JOURNAL OF UROLOGY | - |
dc.citation.volume | 21 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 781 | - |
dc.citation.endPage | 785 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Urology & Nephrology | - |
dc.relation.journalWebOfScienceCategory | Urology & Nephrology | - |
dc.subject.keywordPlus | POSITIVE SURGICAL MARGINS | - |
dc.subject.keywordPlus | LYMPH-NODE DISSECTION | - |
dc.subject.keywordPlus | RETROPUBIC PROSTATECTOMY | - |
dc.subject.keywordPlus | LAPAROSCOPIC PROSTATECTOMY | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | CANCER | - |
dc.subject.keywordPlus | INTERMEDIATE | - |
dc.subject.keywordAuthor | prostate cancer | - |
dc.subject.keywordAuthor | prostatectomy | - |
dc.subject.keywordAuthor | robotics | - |
dc.subject.keywordAuthor | treatment outcome | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/10.1111/iju.12447 | - |
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