Objectives: In this study, the learning curve of the first 60 pa-tients on whom laparoscopic radical prostatectomy was performed in our clinic was evaluated retrospectively.
Materials and Methods: Between January 2006 and June 2011, a total of 60 patients have been diagnosed with localized prostate cancer underwent laparoscopic extraperitoneal descending radical prostatectomy in our clinic. Preoperative and postoperative results of these patients were evaluated.
Results: The mean values of preoperative PSA and Gleason score were 8.8ng/ml and 6 respectively. The mean operation durati-on was 255 minutes, and the blood transfusion was needed in %60 of the patients. 4 patients were transitied to open surgery.Compli-cations were occured at early postoperative period in 7 patients. The mean hospital stay was 7 days. 10 patients required long-term cat-heterization. Operation time, transfusion rate, length of catheteri-zation, oncological outcomes, potency and continence status were evaluated.
In the postoperative period, hemorrhagie was seen in 2 pati-ents, haematoma 5 and scrotal edema in 2. In 2 cases, catheter dura-tion was extended because of the anastomotic leakage. Transureth-ral incision was performed in 2 patients who developed postopera-tive anastomotic stricture. Potency was regained in 8 of the 22 patients who went through bilateral protective neurosurgery. In the postoperative period, PSA level was measured < 0,01 in 44 patients.
Conclusion: Laparoscopic radical prostatectomy is technically difficult method and it requires a considerably long learning curve. Our results of the laparoscopic radical prostatectomy were similar to open surgery. Although the number of patients is not enough, the results are promising.
Key Words: Prostate cancer, laparoscopic radical prostatec-tomy, laparoscopic extraperitonel radical prostatectomy
Abstract
Objectives: In this study, the learning curve of the first 60 pa-tients on whom laparoscopic radical prostatectomy was performed in our clinic was evaluated retrospectively.
Materials and Methods: Between January 2006 and June 2011, a total of 60 patients have been diagnosed with localized prostate cancer underwent laparoscopic extraperitoneal descending radical prostatectomy in our clinic. Preoperative and postoperative results of these patients were evaluated.
Results: The mean values of preoperative PSA and Gleason score were 8.8ng/ml and 6 respectively. The mean operation durati-on was 255 minutes, and the blood transfusion was needed in %60 of the patients. 4 patients were transitied to open surgery.Compli-cations were occured at early postoperative period in 7 patients. The mean hospital stay was 7 days. 10 patients required long-term cat-heterization. Operation time, transfusion rate, length of catheteri-zation, oncological outcomes, potency and continence status were evaluated.
In the postoperative period, hemorrhagie was seen in 2 pati-ents, haematoma 5 and scrotal edema in 2. In 2 cases, catheter dura-tion was extended because of the anastomotic leakage. Transureth-ral incision was performed in 2 patients who developed postopera-tive anastomotic stricture. Potency was regained in 8 of the 22 patients who went through bilateral protective neurosurgery. In the postoperative period, PSA level was measured < 0,01 in 44 patients.
Conclusion: Laparoscopic radical prostatectomy is technically difficult method and it requires a considerably long learning curve. Our results of the laparoscopic radical prostatectomy were similar to open surgery. Although the number of patients is not enough, the results are promising.
Key Words: Prostate cancer, laparoscopic radical prostatec-tomy, laparoscopic extraperitonel radical prostatectomy