Comparação entre a indicação de prostatectomia radical robô assistida e prostatectomia retropúbica no Hospital Naval Marcílio Dias

Abstract

Introduction: Prostate cancer is the most prevalent tumor among men and its incidence increases with age. Most patients still choose a surgical approach as a treatment modality. The most used surgical methods are currently retropubic or robotic. Comparison of oncological and functional outcomes between open and robotic approaches is conflicting and controversial, making it difficult to reach meaningful conclusions. However, benefits related to its minimally invasive nature were observed. Objective: Compare the indication of Radical Prostatectomy for the treatment of prostate cancer using the Robotic technique with the Retropubic technique. Methodology: A retrospective study was carried out at Hospital Naval Marcílio Dias with the evaluation of 171 patients who underwent Robotic Assisted Radical Prostatectomy or by the conventional retropubic technique from January 2018 to December 2019. Age, patient comorbidities, ISUP classification, PSA and prostate size in grams in the surgical indication were analyzed. RESULTS: An association was observed only between the age group and the choice of surgical method. 83.3% of patients undergoing conventional PTR were aged 60 years or above, against 56.1% in the robotic surgery group (p-value=0.001). Conclusion: There is currently no consensus on recommending the choice of surgical approach for the treatment of prostate cancer. It is therefore concluded that the definition of the technique adopted must be an individualized decision shared with the patient.