Abstract
Introduction. Radical prostatectomy is the most effective treatment method for prostate cancer.
A robot-assisted approach is a minimally invasive method that is highly effective and also suitable for elderly patients. The cohort of patients who underwent robot-assisted radical prostatectomy over 65 years of age was retrospectively evaluated.
Material and Methodology. The evaluated group had 256 patients and all underwent robot-assisted radical prostatectomy in the period 2016-2018.
Surgical outcomes and complications were evaluated. Furthermore, the functional and preliminary oncologic results of this group were analyzed.
Results. Median follow-up time was 18 months.
The operating time was 186 minutes and the blood loss was 150 ml. The most frequent length of hospitalization was 3 or 4 days.
Only two patients were temporarily stored in the ICU after surgery. Urinary incontinence was recorded in 10% patients and urethral stricture in 0.7%.
According to our preliminary oncologic results, overall survival was 100% and overall and cancer specific-mortality was zero. Only one patient had serious complications with the need for repeated reoperations.
Conclusion. Robot-assisted radical prostatectomy is also very suitable for elderly patients.
The patient's age only would not be the most important criterion.