Journal article
Intermediate-term cancer control outcomes in prostate cancer patients treated with robotic-assisted laparoscopic radical prostatectomy: a multi-institutional analysis
World journal of urology, Vol.34(10), pp.1357-1366
10/2016
DOI: 10.1007/s00345-016-1781-y
PMID: 26873596
Abstract
Cancer control outcomes following robot-assisted radical prostatectomy (RARP) for prostate cancer (PCa) remain inadequately addressed over intermediate-term (≥5-year) follow-up. We examined biochemical recurrence-free survival (BCRFS), clinical recurrence-free survival (CRFS), and cancer-specific survival (CSS) in a multi-institutional cohort of men undergoing RARP for localized PCa.
A total of 5670 PCa patients undergoing RARP ± pelvic lymph node dissection as primary treatment modality at three tertiary care centers between 2001 and 2010 were analyzed. BCRFS, CRFS, and CSS were estimated using the Kaplan-Meier method. Cox proportional hazards model tested their association with available preoperative and postoperative parameters.
43.6 and 15.1 % of patients had D'Amico intermediate- and high-risk disease, respectively. Over a mean (median) follow-up of 56 (50.4) months, 797 men had a BCR, 78 men had CR, and 32 men died of PCa. Actuarial BCRFS, CRFS, and CSS, respectively, were 83.3, 98.6, and 99.5 % at 5-year; 76.5, 97.5, and 98.7 % at 8-year; and 73.3, 96.7, and 98.4 % at 10-year follow-ups. Only 1.7 % of patients received any adjuvant treatment. Preoperative prostate-specific antigen (PSA) and biopsy Gleason score (GS) were independent clinical predictors of BCRFS, CRFS, and CSS, while postoperatively positive surgical margin, pathological GS, pathological stage, and lymph node invasion were significantly associated with BCR and CR (all p < 0.05).
Cancer control outcomes of RARP appear comparable to those reported for open and laparoscopic RP in previous literature, despite low overall rate of adjuvant treatment. Disease severity and preoperative PSA may aid in risk prognostication and defining postoperative follow-up protocols.
Details
- Title: Subtitle
- Intermediate-term cancer control outcomes in prostate cancer patients treated with robotic-assisted laparoscopic radical prostatectomy: a multi-institutional analysis
- Creators
- Firas Abdollah - Henry Ford HospitalDeepansh Dalela - Henry Ford Health SystemAkshay Sood - Henry Ford Health SystemJesse Sammon - Henry Ford Health SystemWooju Jeong - Henry Ford Health SystemBurkhard Beyer - Universität HamburgNicola Fossati - Vita-Salute San Raffaele UniversityCraig G Rogers - Henry Ford HospitalMireya Diaz-Insua - Henry Ford HospitalJames Peabody - Henry Ford Health SystemAlexander Haese - Martini-KlinikFrancesco Montorsi - Vita-Salute San Raffaele UniversityMarkus Graefen - Martini-KlinikAlberto Briganti - Vita-Salute San Raffaele UniversityMani Menon - Henry Ford Health System
- Resource Type
- Journal article
- Publication Details
- World journal of urology, Vol.34(10), pp.1357-1366
- DOI
- 10.1007/s00345-016-1781-y
- PMID
- 26873596
- NLM abbreviation
- World J Urol
- ISSN
- 0724-4983
- eISSN
- 1433-8726
- Language
- English
- Date published
- 10/2016
- Academic Unit
- Urology
- Record Identifier
- 9984949453902771
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