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A Comparison of Patient Outcomes between Robotic and Open Prostatectomy

Taylor, Vickie L. (2018) A Comparison of Patient Outcomes between Robotic and Open Prostatectomy. [Dissertation]

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Abstract

Objective: The purpose of the study is to compare the overall immediate patient outcomes and costs of two different surgical modality for radical prostatectomy. Methods: A retrospective observational two-comparison study is designed in 59 male patients who underwent either a robotic assisted radical prostatectomy (RARP) or open radical prostatectomy (ORP) to compare the patient outcomes during the first year of inception of the robotic-assisted program. Results: The RARP has shown to have longer surgical room time (2.90 hours +/- .49 vs. 2.27 hours +/- .36, p = .000) and is costly ($6777.69 +/- 993.14 vs. $5070.44 +/- 590.30, p = .000). However, the first pain score assessed upon arrival to surgical unit was less in RARP than ORP (1.64 +/- 2.00 vs. 3.22 +/- 3.09, p < 0.05). The intraoperative and perioperative patient outcomes were comparable between the two procedural methods including intraoperative estimated blood loss (145.14 mL +/- 67.83 vs. 219.05 mL +/- 301.45), transfusion rate (0 vs. 0), complication rate (25.0% vs. 17.4%), recovery length of stay (87.67 minutes +/- 34.35 vs. 79.04 minutes +/- 21.63), and overall hospital length of stay (30.28 hours +/- 12.59 vs. 29.44 hours +/- 6.84). Conclusions: This study observed that RARP is comparable with ORP in terms of intraoperative and perioperative patient outcomes including blood loss, complication rates, recovery and overall hospital length of stay. This result supports a new robotic surgery program as another safe option for prostate cancer treatment for community hospitals. Our study did not show the superior patient outcomes over ORP, different from the previous studies. The difference may have been due to the comparative sample of ORP’s having a majority of perineal approach rather than abdominal radical prostatectomies and/or the data collection period.

Item Type: Dissertation
Subjects: R Medicine > RD Surgery
Divisions: UNSPECIFIED
Depositing User: Vickie L. Taylor
Date Deposited: 14 Sep 2020 17:01
Last Modified: 14 Sep 2020 17:01
URI: http://wagner.radford.edu/id/eprint/410

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