Clinical evaluation for operative results and perioperative complications after laparoscopic radical prostatectomy

DOI Web Site
  • Goto Keisuke
    Department of Urology, National Hospital Organization, Kure Medical Center
  • Kohda Syuntaro
    Department of Urology, National Hospital Organization, Kure Medical Center
  • Shigeta Masanobu
    Department of Urology, National Hospital Organization, Kure Medical Center

Bibliographic Information

Other Title
  • 腹腔鏡下前立腺全摘除術の治療成績および周術期合併症の臨床的検討
  • フッコウキョウ カ ゼンリツセン ゼンテキジョジュツ ノ チリョウ セイセキ オヨビ シュウジュツキ ガッペイショウ ノ リンショウテキ ケントウ

Search this article

Description

  We evaluated operative results and perioperative complications after laparoscopic radical prostatectomy（LRP）based on 101 patients from January 2007 to December 2010. No open conversion was necessary in all cases. The mean operating time was 215 minutes and the estimated blood loss averaged 459ml. Both of them were significantly decreased by the surgical experience. There were 7（6.9%）intraoperative complications, including two rectal injuries（2.0%）. These injuries could be diagnosed intraoperatively and closed laparoscopically in two layers without subsequent complications. Although there were 18（17.8%）early complications, reoperation was not necessary in any case. The overall positive surgical margin rate was 31.7%（32 patients）. At 3 years, PSA failure had occurred in 19 patients and a Kaplan-Meier analysis estimated that PSA progression free survival rates was 74.4% at 3 years. Multivariate analysis revealed that positive surgical margins were independent predictors of PSA failure. A total of 96.4% of patients were continent 12 months after LRP. Thus, we concluded that LRP offered the benefits of minimally invasive surgery and did not compromise clinical or pathological outcomues.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top