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Original Research

Laparoscopic extraperitoneal radical prostatectomy: Experience in first 60 patients


Sağlık Bakanlığı Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi 1. Üroloji Kliniği


DOI :
2012; 7 (1): 26-32

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


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