robot-assisted laparoscopic radical prostatectomy in the morbidly obese patient课本在病态肥胖患者腹腔镜根治性前列腺切除术.pdfVIP

Hindawi Publishing Corporation Prostate Cancer Volume 2011, Article ID 618623, 5 pages doi:10.1155/2011/618623 Clinical Study Robot-Assisted Laparoscopic Radical Prostatectomy in the Morbidly Obese Patient Jennifer Yates,1 Ravi Munver,1, 2, 3 and Ihor Sawczuk1, 2, 3 1 Department of Urology, Hackensack University Medical Center, 360 Essex Street, Hackensack, NJ 07601, USA 2 Touro University College of Medicine, Hackensack, NY 10027, USA 3 New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ 07103, USA Correspondence should be addressed to Jennifer Yates, yatesnif@ Received 2 July 2010; Accepted 10 October 2010 Academic Editor: Mark Emberton Copyright © 2011 Jennifer Yates et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. Obesity and prostate cancer are among the more common health issues affecting men in the United States. Methods. 2 We retrospectively reviewed morbidly obese (BMI ≥ 40 kg/m ) patients undergoing RALP between 2004–2009 at our institution. Parameters including operative time, estimated blood loss, hospital stay, pathology, and complication rate were examined. Results. A total of 15 patients were included, with a mean BMI of 43 kg/m2 . Mean preoperative PSA was 5.78 ng/dL, and Gleason score was 6.6. Mean operative time was 163 minutes, and mean estimated blood loss was 210 mL. The mean hospital stay was 1.3 days. Positive margins were noted in 2 (13%) patients, each with pT3 disease. There were no blood transfusions, open conversions, or Clavien Grade II or highe