dc.contributor.author | Tavukcu, Hasan Hueyin | |
dc.contributor.author | Aytac, Omer | |
dc.contributor.author | Balci, Numan Cem | |
dc.contributor.author | Kulaksizoglu, Haluk | |
dc.contributor.author | Atug, Fatih | |
dc.date.accessioned | 2019-08-13T12:10:23Z | |
dc.date.accessioned | 2019-08-13T15:56:08Z | |
dc.date.available | 2019-08-13T12:10:23Z | |
dc.date.available | 2019-08-13T15:56:08Z | |
dc.date.issued | 2017 | |
dc.identifier.issn | 2149-3235 | |
dc.identifier.issn | 2149-3057 | |
dc.identifier.uri | https://dx.doi.org/10.5152/tud.2017.35589 | |
dc.identifier.uri | http://hdl.handle.net/11446/2226 | |
dc.description | WOS: 000416270600014 | en_US |
dc.description.abstract | Objective: We investigated the effect of the use of multiparametric prostate magnetic resonance imaging (mp-MRI) on the dissection plan of the neurovascular bundle and the oncological results of our patients who underwent robot-assisted radical prostatectomy. Material and methods: We prospectively evaluated 60 consecutive patients, including 30 patients who had (Group 1), and 30 patients who had not (Group 2) mp-MRI before robot-assisted radical prostatectomy. Based on the findings of mp-MRI, the dissection plan was changed as intrafascial, interfascial, and extra-fascial in the mp-MRI group. Two groups were compared in terms of age, prostate-specific antigen (PSA), Gleason sum scores and surgical margin positivity. Results: There was no statistically significant difference between the two groups in terms of age, PSA, biopsy Gleason score, final pathological Gleason score and surgical margin positivity. mp-MRI changed the initial surgical plan in 18 of 30 patients (60%) in Group 1. In seventeen of these patients (56%) surgical plan was changed from non-nerve sparing to interfascial nerve sparing plan. In one patient dissection plan was changed to non-nerve sparing technique which had extraprostatic extension on final pathology. Surgical margin positivity was similar in Groups 1, and 2 (16% and 13%, respectively) although, Group 1 had higher number of high-risk patients. mp-MRI confirmed the primary tumour localisation in the final pathology in 27 of of 30 patients (90%). Conclusion: Preoperative mp-MRI effected the decision to perform a nerve-sparing technique in 56% of the patients in our study; moreover, changing the dissection plan from non-nerve-sparing technique to a nerve sparing technique did not increase the rate of surgical margin positivity. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | AVES | en_US |
dc.identifier.doi | 10.5152/tud.2017.35589 | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Dissection | en_US |
dc.subject | magnetic resonance | en_US |
dc.subject | prostate | en_US |
dc.subject | prostatectomy | en_US |
dc.title | The efficacy and utilisation of preoperative multiparametric magnetic resonance imaging in robot-assisted radical prostatectomy: does it change the surgical dissection plan? | en_US |
dc.type | article | en_US |
dc.relation.journal | TURKISH JOURNAL OF UROLOGY | en_US |
dc.department | DBÜ | en_US |
dc.identifier.issue | 4 | en_US |
dc.identifier.volume | 40 | en_US |
dc.identifier.startpage | 470 | en_US |
dc.identifier.endpage | 475 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.department-temp | [Tavukcu, Hasan Hueyin -- Aytac, Omer -- Kulaksizoglu, Haluk -- Atug, Fatih] Istanbul Bilim Univ, Dept Urol, Sch Med, Istanbul, Turkey -- [Balci, Numan Cem] Istanbul Bilim Univ, Dept Radiol, Sch Med, Istanbul, Turkey | en_US |