Özet:

Introduction and Purpose: Robot-assisted laparoscopic radical prostatectomy (RYLRP) and extended pelvic lymph nod disection in our patient series to determine the pathological and clinical characteristics of these patients with the ratio of pT0 patients in the pathological sperm. Method and Requirements: Data of a total of 1950 patients with RYLRP and bilateral extended pelvic lymph nod decection in a single center between 2009-2019 were retrospective examined. The age of patients with pT0, preoperative serum PSA levels, clinical stages, prostate biopsy results (Gleason degree, biopsy number, total number of curves and positive curves, tumor length and percentage of curves), prostate weight in the pathological spess and other pathological data were recorded. In postoperative tracking, the measurement of PSA levels over 0.2 ng/ml twice was considered biochemical recurrence. BULGULAR: RYLRP was as 16 of the 1950 patients. The average PSA value was 9.3±1.06 ng/ml (0.25-34.6). 10 patients with pT0 pathology after RYLRP had a history of neoadjuvan hormone therapy (NHT) and TUR-P in 1 hospital. In 5 patients there was no NHT or TUR-P history and the RYLRP was as pT0 due to low-risk prostate cancer in the biopsy. The average weight of the prostate is 60. 3 ± 30.8 gr (26-154) was. The average tracking time was 18.64 ± 4.66 (12-80) months. In 1 patients, PSA recurrence was observed and radiotherapy was taken. PT0 is rare after both open and robotic radical prostatectomy. In a small group of patients receiving pre-chirurgical treatment, monitoring should be carried out carefully in terms of recurrent and systemic progress.

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