Performing A Retzius-Sparing Prostatectomy with a New Robot

Performing a Retzius-sparing Radical Prostatectomy with a new robot (Korea). Dr. Sylvia Alip (University of the Philippines, Manila, Philippines).

Abstract introduction:

The (brand hidden) robot is the ubiquitous international standard for robotic surgery. Newer robots are set to challenge the monopoly, bring down costs, and make innovations more accessible to patients around the world. One such robot is (brand hidden) – a new telemanipulator system approved in 2018. The aim of this study and accompanying video demonstration is to illustrate similarities and differences between the two systems and their outcomes.

Materials and Methods:

Non-metastatic prostate cancer patients undergoing Retzius-sparing robot- assisted radical prostatectomy (RS-RARP) from January 2016 to December 2020 were matched into two cohorts according to the following criteria: age, ASA score, BMI, prostate volume, Gleason score, tumor stage. One cohort was operated on using the (brand hidden) robot, and another with the (brand hidden). The following outcomes were compared: estimated blood loss, length-of-stay, complication rate, operative times, positive surgical margins, and biochemical recurrence at six months.

Results:

Both cohorts were similar in estimated blood loss, positive margin rate and complication rate. The (brand hidden) showed faster console, suture, and total operation times. These differences were statistically significant.

Conclusion:

The robot (brand hidden, despite being slower than the (brand hidden) in operative times, continues to perform efficiently with similar short-term oncologic outcomes. More studies on new robotic systems may help broaden the options for robotic surgery.