Clinical Efficacy of Da Vinci Robot Assist Laparoscopic Radical Prostatectomy and Analysis of Influencing Factors on Short-term Urinary Control Recovery after Operation
Objective:To observe the clinical efficacy of da vinci robot assist laparoscopic radical prostatectomy(RALRP),and to analyze the influencing factors of urinary control recovery after operation.Methods:182 cases of laparoscopic radical prostatectomy who were admitted to Provincial Hospital Affiliated to Shandong First Medical University from March 2020 to January 2023 were selected as research objects,patients were divided into group A(n=81,traditional laparoscopic radical prostatectomy)and group B(n=101,RALRP)according to the different operation methods.The operation time,urinary control rate 1 month after operation,intraoperative blood loss,hospitalization time,catheter removal time,drainage tube removal time and incidence of complications after operation were recorded in two groups.For RALRP patients,the influencing factors of urinary control recovery after operation were analyzed by multivariate logistic regression analysis.Results:The operation time,drainage tube removal time,catheter removal time and hospitalization time in group B were shorter than those in group A,and the intraoperative blood loss was less than that in group A(P＜0.05).The urinary control rate in group B was higher than that in group A 1 month after operation(P＜0.05).The incidence of complications after operation in group B was lower than that in group A(P＜0.05).Multivariate logistic regression analysis showed that,diabetes mellitus and history of transurethral re-section of the prostate(TURP)were risk factors for urinary continence recovery after operation,while regular levator ani exercise and preservation of neurovascular bundle(NVB)were protective factors for urinary continence recovery after operation(P＜0.05).Conclusion:RALRP in the treatment of patients with prostate cancer,which can shorten the operation time,drainage tube removal time,catheter re-moval time,hospitalization time,reduce intraoperative blood loss,improve the urinary control rate 1 month after operation and reduce the incidence of complications.In addition,diabetes mellitus,regular levator ani exercise,preservation of NVB and history of TURP are all influencing factors for short-term urinary continence recovery after RALRP,which is worthy of attention.
Da vinci robotLaparoscopic radical prostatectomyClinical efficacyUrinary control recoveryInfluencing factors
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