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Possibilities of eliminating complications of radical prostatectomy DOI: 10.29188/2222-8543-2025-18-3-49-57
- Popov S.V. – Dr. Sci., Head physician, Saint Luke clinical hospital, State budgetary health institution of Saint-Petersburg, Russia, Saint-Petersburg; RSCI Author ID 211507; https://orcid.org/0000-0003-2767-7153
- Chernov K.E. – PhD, Head of Urology department of Saint Luke clinical hospital, State budgetary health institution of Saint-Petersburg; Russia, Saint-Petersburg; RSCI Author ID 64691894; https://orcid.org/0000-0001-9150-1473
- Orlov I.N. – PhD, Vice-Chief of Saint Luke clinical hospital, state budgetary health institution of Saint-Petersburg; Russia, Saint-Petersburg; RSCI Author ID 105712;https://orcid.org/0000-0001-5566-9789
- Movchan K.N. – Dr. Sci, professor, Head of the sector of organizing the examination of the quality of medical care, St. Petersburg State Budgetary Healthcare Institution Medical Information and Analytical Center, Russia, Saint-Petersburg; Russia, Saint-Petersburg; RSCI Author ID 5762766; https://orcid.org/0000-0002-9843-9868
- Kopytova I.Yu. – urologist of Urology department of Saint Luke clinical hospital, State budgetary health institution of Saint-Petersburg; Russia, Saint-Petersburg
- Semikina S.P. – urologist of Urology department of Saint Luke clinical hospital, State budgetary health institution of Saint-Petersburg; Russia, Saint-Petersburg; RSCI Author ID 1142811; https://orcid.org/0000-0003-0805-6810
113 Introduction. The frequency of intraand postoperative complications of various types of radical prostatectomy (RPE) differs significantly. The discovering of their causes and the search for ways of prevention and treatment has a paramount meaning for modern medicine.
The aim of the study was to evaluate the frequency and structure of complications of RPE, considering the way of its performing.
Materials and methods. From 2010 to 2024 976 patients underwent RPE. Three clinical study groups have been formed: 105 patients who received treatment in the period from 2010 to 2014 were assigned to group 1 (leaning curve). The second group included 245 cases in 2014-2018 (introduction of innovative consumables and technical devices for minimally invasive surgery). The 3rd (2018-2023) consisted of 526 cases of RPE using a differentiated approach to the use of robotics and other modern innovative endovideosurgical systems.
Results. In the 1st group the number of complications reached 10%, in the 2nd – 6,8%, in the 3rd – 3,5%. A chronological analysis of the data on the results of RPE allows us to confirm the opinion about the reliability of reducing the frequency of detection of complications of pronounced severity. The introduction of a set of innovative technologies for performing RPE and the accumulation of clinical and technical experience by surgeons of a specialized hospital, acquired based on a systemically differentiated approach, makes it possible to achieve a reduction in the incidence of complications.
Conclusion. To reduce the number of complications, as well as improve the oncological and functional results of surgical treatment of prostate cancer patients, special importance should be given to the introduction of robotics.
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