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Table 2 Intraoperative, post-operative and oncological outcomes

From: Radical prostatectomy outcomes in renal transplant recipients: a retrospective case series of Thai patients

 

Case 1

Case 2

Case 3

Case 4

Case 5

Operative date

23-Nov-05

11-June-10

08-Apr-15

06-Dec-18

05-Mar-20

Type of RP

ORP

LRP

RS-RALRP

RALRP

RALRP

Nerve sparing

No

No

No

No

Unilateral

Operative time (min)

365

210

210

190

210

EBL (mLs)

630

300

250

150

100

Prostate specimen weight (g)

34.8

40

24

23.5

30

Perioperative complication

None

None

None

None

None

Complication by Clavien-Dindo classification

2

2

1

1

1

Complication

Blood transfusion and postoperative fever

Blood transfusion and postoperative fever

   

LOS (days)

13

6

8

5

7

Pathological Gleason score

4 + 5

3 + 3

4 + 3

4 + 5

3 + 4

Pathological T stage

T3b

T2a

T2c

T3b

T2a

Marginal status

Positive

Negative

Positive

Positive

Negative

Follow-up period (months)

129

47

63

31

6

Creatinine (mg/dl)

Preoperative

1.3

1

1.41

0.66

1.11

1 day postoperative

1.2

0.8

1.38

0.57

0.87

3 days postoperative

1.12

Not measured

0.88

0.58

0.79

7 days postoperative

1.25

Discharged

1.06

Discharged

0.78

The last available Cr

1.6

Year 2016

1.28

Year 2014

1.74

Year 2020

0.65

Year 2020

1.05

May-20

Survival/oncological status

PSA persistence, on ADT until death in 2016 due to progressive allograft dysfunction with uremia

Recurrence free until death in 2014 due to sigmoid colon carcinoma with gut obstruction and septic shock

PSA recurrence at 13 months. Then on ADT, PSA < 0.003 at the follow up on 9 June 2020

PSA persistence, on ADT. PSA of 0.85 at the follow-up on 25 May 2020

Recurrence free at the follow-up on May 2020

Return of urinary continence after surgery

1 year

1 year

1 month

6 months

6 months

  1. ADT, androgen deprivation therapy; Cr, creatinine; EBL, estimated blood loss; LRP, laparoscopic radical prostatectomy; LOS, length of hospital stay; ORP, open radical prostatectomy; PSA, prostate-specific antigen; RALRP, robotic-assisted laparoscopic radical prostatectomy; RP, radical prostatectomy; RS-RALRP, Retzius-sparing robotic-assisted laparoscopic radical prostatectomy