Modified Hood Technique 機器手臂攝護腺切除術於器官侷限性攝護腺癌中促進早期尿控恢復並維持良好短期腫瘤結果

劉順琳¹、曾浩翔^1,2、蔡禮賢¹、林維卿³、張菡⁴、張兆祥¹

¹中國醫藥大學附設醫院泌尿部，³醫學影像部，⁴病理部; ²中國醫藥大學北港附設醫院泌尿部

Modified Hood Technique with Urethropexy in Robotic Radical Prostatectomy Facilitates Early Continence Recovery with Acceptable Short-Term Oncological Outcomes in Organ-Confined Prostate Cancer

Shun-Lin Liu¹, Hao Xiang Chen^1,2, Li-Hsien Tsai¹, Wei-Ching Lin³, Han Chang⁴, Chao-Hsiang Chang¹

¹Department of Urology, ³Medical Imaging, ⁴Pathology, China Medical University Hospital, China Medical University, Taichung 404, Taiwan; ² Division of Urology, Department of Surgery, China Medical University Beigang Hospital, Beigang, Yunlin, 651012, Taiwan.

Purpose: To evaluate the functional and oncological outcomes of modified hood technique robotic radical prostatectomy in patients with clinically organ-confined prostate cancer.

Materials and Methods: We retrospectively reviewed patients with prostate cancer staged as MRI T<=2, who underwent robotic radical prostatectomy using the modified hood technique at a single center by a single surgeon. Preoperative, pathological, functional, and oncological outcomes were analyzed.

Results: From November 2021 to June 2025, a total of 104 patients were included. The median age was 67 years and median PSA level was 7.39 ng/mL. Continence rates at 1 week, 3 months, and 12 months were 37.5%, 79.8%, and 94.2%, respectively.

Pathological upstaging occurred in 27.8% of patients, and the positive surgical margin rate was 29.8%. During a median follow-up of 25 months, 14.2% of patients received adjuvant or salvage treatment, and only 1 patient had a PSA level >0.2 ng/mL at the most recent follow-up.

Conclusions: Modified hood technique robotic radical prostatectomy may facilitate early continence recovery while maintaining acceptable short-term oncological outcomes in patients with clinically organ-confined prostate cancer.