UPSTAGING AND GLEASON UPGRADING IN PATIENTS AFTER ROBOT- ASSISTED RADICAL PROSTATECTOMY FOR LOCALIZED PROSTATE CANCER
Abstract
Objective. To study the incidence of T-stage and Gleason index elevation after robot-assisted radical prostatectomy (RARP).Material and methods. The Study included 142 patients with localized prostate cancer after standard nerve-sparing RARP (44 patients) and RARP by the technique developed by us with preservation and reconstruction of periprostatic anatomical structures with preservation (64 patients) or without preservation (34 patients) of neurovascular bundles of the penis.Results. Postoperative Gleason score in all groups of patients was higher than the preoperative values (p<0.0001). The dynamicsof changes in Gleason score did not differ significantly between the groups (p= 0.74). The disease upstaging to pT3 was recognized in 20.42% of patients.Conclusions. Risks of upstaging and upgrading in patients who underwent RARP for localized prostate cancer should be consideredwhen determining the management tactics of these patients and analyzing the immediate oncological results of surgical treatment.
About the Authors
M. S. Mosoyan
ФГБУ «Национальный медицинский исследовательский центр имени В.А. Алмазова» Минздрава России; ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Минздрава России
Russian Federation
Russian Federation
D. M. Il’In
ФГБУ «Национальный медицинский исследовательский центр имени В.А. Алмазова» Минздрава России; ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Минздрава России
Russian Federation
Russian Federation
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Review
For citations:
Mosoyan M.S., Il’In D.M. UPSTAGING AND GLEASON UPGRADING IN PATIENTS AFTER ROBOT- ASSISTED RADICAL PROSTATECTOMY FOR LOCALIZED PROSTATE CANCER. Bashkortostan Medical Journal. 2020;15(6):31-34. (In Russ.)
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