身體質量指數對達文西輔助攝護腺全切除術之預後影響

陳正宇¹、曾文歆¹、黃冠華¹

¹奇美醫療財團法人永康奇美醫院外科部泌尿外科

The impact of BMI on outcome of robotic-assisted radical prostatectomy: A single-center retrospective study

Cheng-Yu Chen¹, Wen-Hsin Tseng¹, Steven Kuan-Hua Huang¹

¹Division of Urology,Department of Surgery,Chi-Mei Medical Center,Tainan,Taiwan

Purpose: This study aims to explore the potential association between patients' Body Mass Index (BMI) and the outcomes of robotic-assisted radical prostatectomy.

Materials and Methods: A total of 98 patients were enrolled and categorized into three groups based on BMI (normal, overweight, obesity). Outcome measures included urinary incontinence (UI), medication usage, urinary leakage, hospital stay duration, blood loss, margin-free rate, and major complications.

Results: Analysis revealed no significant differences in the distribution of UI and medication (Anticholinergics, B3 agonist, Electrical stimulation) between the normal, overweight, and obesity groups at 1, 3, 6, 12, and 24 months (All p>0.05). Additionally, there were no statistically significant differences observed in operation-related outcomes. However, although not statistically significant, there was a trend indicating a higher incidence of urinary incontinence among obese patients during long-term follow-up.

Conclusions: This study found no significant association between BMI and the outcomes of robotic-assisted radical prostatectomy in Taiwan.