@Article{,
AUTHOR = {Judd Boczko, Ralph Madeb, Dragan Golijanin, Erdal Erturk, Mary Mathe, Hitendra R. H. Patel, Jean V. Joseph},
TITLE = {Robot-assisted radical prostatectomy in obese patients},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {13},
YEAR = {2006},
NUMBER = {4},
PAGES = {3169--3173},
URL = {http://www.techscience.com/CJU/v13n4/62472},
ISSN = {1488-5581},
ABSTRACT = {<b>Objectives:</b> Few centers perform extraperitoneal robot assisted radical prostatectomy. The average patient weight is increasing to the mildly obese. Little is known as to the difficulty-impact obesity may have on robot-assisted extraperitoneal prostatectomy (RAP). We assess our own experience with obese patients undergoing RAP.
<br/><b>Materials and methods:</b> Information on 375 consecutive patients undergoing robot-assisted extraperitoneal prostatectomy by a single surgeon was gathered. Obesity is defined as having a body mass index (BMI) greater than 30 kg/m². Patients with BMI ≥30 were compared to those with BMI <30. Specific comparators between the groups were: age, total operating time, estimated blood loss, total prostate specific antigen (PSA), specimen weight, pathological stage, grade and margin, complications, and functional outcomes.
<br/><b>Results:</b> Sixty-seven men were identified as obese. When comparing the two groups, no statistically significant difference (p>0.05) was noted in operative time (229 versus 217 min), blood loss (205 versus 175 ml), PSA, clinical and pathologic stages, specimen weight, and complications. 15% of non-obese patients had a positive margin compared to 12% of obese patients (p>0.05). The 6-month continence rate in patients with a BMI ≥30 was 92% versus 97% in patients with a BMI <30.
<br/><b>Conclusions:</b> The extraperitoneal approach to performing a robot-assisted prostatectomy is not associated with increased morbidity in the obese patient. There were no statistically significant differences noted in oncological or functional outcomes between the two groups.},
DOI = {}
}