Transition from open to robotically assisted approach on radical prostatectomies in Iceland. A nationwide, population-based study.

• Published in: Scandinavian Journal of Urology
• Main Authors: Gudmundsdottir, Hilda Hrönn, Johnsen, Arni, Fridriksson, Jon Örn, Hilmarsson, Rafn, Gudmundsson, Eirikur Orri, Gudjonsson, Sigurdur, Jonsson, Eirikur
• Other Authors: 1Department of Urology, Landspitali University Hospital, Reykjavik, Iceland. 2Faculty of Medicine, University of Iceland, Reykjavik, Iceland. 3Department of Surgery, Akureyri Hospital, Akureyri, Iceland.
• Format: Article in Journal/Newspaper
• Language: English
• Published: Taylor & Francis 2022
• Subjects: Prostate cancer; early outcomes; radical prostatectomy; robot-assisted; surgical technique; Blöðruhálskirtilskrabbamein; Skurðlækningar; Þjarkar; Prostatectomy; Robotic Surgical Procedures; Iceland
• Online Access: http://hdl.handle.net/2336/622054; https://doi.org/10.1080/21681805.2021.2002398

To access publisher's full text version of this article click on the hyperlink below Objectives: In January 2015, radical prostatectomies (RPs) in Iceland changed almost entirely from being performed as open (ORP) to robotically assisted (RARP). This study assesses early surgical and short-term oncological outcome after ORP and RARP and evaluates the safety of transition between the two surgical techniques. Methods: The study population involved 160/163 (98%) of all radical prostatectomies performed in Iceland between January 2013 and April 2016. Data on patients was collected retrospectively from medical records. Early surgical and short-term oncological outcomes were compared between the two surgical techniques. Results: The ORP and RARP cohorts were comparable with respect to all clinical and pathological variables, except for median prostate volume, which was 45 mL in the ORP cohort and 37 mL in the RARP cohort (p = 0.03). Intraoperative blood loss was higher, hospital stay longer, catheterization time longer, and risk of complications within 30 days of surgery higher after ORP than RARP (p < 0.01). The operative time, positive surgical margin rate and recurrence free survival, within two years, was comparable between the two surgical techniques. Conclusions: The transition from ORP to RARP in Iceland was safe and resulted in improved early surgical outcome. However, no conclusion can be drawn from this study regarding oncological outcome, due to short follow up and a small sample size. Keywords: Prostate cancer; early outcomes; radical prostatectomy; robot-assisted, surgical technique. Lions Club Njordur, Iceland