This study aims to compare perioperative, pathological, and early functional outcomes of PAL （Posterior, Anterior and Lateral）combined approach RARP and posterior approach (with Retzius space preserved) RARP in the treatment of prostate cancer.The main question it aims to answer was: What is the early therapeutic efficacy of robot-assisted laparoscopic radical prostatectomy using the combined posterior, anterior, and lateral (PAL) approach, and how does it compare with the traditional posterior approach? Participants were randomly assigned to undergo either robot-assisted laparoscopic radical prostatectomy using the PAL (posterior-anterior-lateral) approach or the classic posterior approach.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
60
PAL combined approach was performed to resect the prostate
Intraoperative resection of the prostate was performed by posterior approach
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, China
urinary continence
was defined as the use of zero to one safety pad per day without any involuntary leakage.Immediate continence was defined as continence within seven days after catheter removal, while early continence was defined as continence achieved within three months.
Time frame: Patients were assessed for urinary incontinence, defined according to established criteria, via telephone at five time points after the removal of the urinary catheter (which was 2-3 weeks post-surgery): within 7 days, and at 1, 3, 6, and 12 months.
Operation time
Time frame: During operation
Estimated blood loss
Time frame: During operation
Complications
Complications were classified according to the Clavien-Dindo system, and those of grade II or higher were documented in this study.
Time frame: Perioperative
Time for removal of drainage tube
Time frame: Perioperative
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