Can Focal Therapy Impact Perioperative, Oncological, And Functional Outcomes In Men Who Underwent Focal Therapy Salvage Robotic-Assisted Radical Prostatectomy? A Retrospective Matched-Pair Comparative Study.

JOURNAL OF CLINICAL ONCOLOGY(2017)

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摘要
76Background: Salvage surgery is an option for recurrent prostate cancer(PCa) after focal therapy(FT). This is the first study to assess the impact of FT on surgical outcomes comparing salvage robotic-assisted radical prostatectomy(S-RARP) versus primary-RARP(P-RARP). We aimed to compare the impact of FT on perioperative, oncological and functional outcomes in men underwent S-RARP versus P-RARP. Methods: Prospective data of 2775 men underwent RARP for localized PCa from 2000 to 2016 were reviewed. Twenty-five men underwent S-RARP after FT failure(S-RARP group). Total 2750 underwent RARP as primary treatment. Matched-pair 1:2 selection of 44 out of 2750 patients by age, IPSS and IIEF5 defined P-RARP group. Primary endpoint was between-groups differences on functional outcomes. Secondary endpoint was oncological data. p 0.05). Rates of continence probability[49.5%(SE 0.13) versus 62.4%(SE 0.08), p = 0.8 an...
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关键词
radical prostatectomy,focal therapy impact,robotic-assisted,matched-pair
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