Herbert Lepor1, Ledia Kaci. 1. Department of Urology, New York University School of Medicine, New York, New York 10016, USA.
Abstract
OBJECTIVES: To determine the impact of recent advances in surgical technique, management, and early detection on outcome after open radical retropubic prostatectomy. METHODS: Between October 2000 and August 2002, 500 men with clinically localized prostate cancer underwent radical retropubic prostatectomy by a single surgeon (H.L.). One of the unique aspects of this prospective outcomes analysis was that both data acquisition and entry were conducted totally independent of the primary surgeon. RESULTS: The mean operative and prostatectomy time was 142.9 and 65.2 minutes, respectively. A single ureteral injury was the only intraoperative complication. The overall incidence of pulmonary embolus and/or deep vein thrombosis was 0.4%. The overall risk of allogeneic transfusion was 4.6%. The mean length of hospital stay was 2.11 +/- 0.04 days. Of the catheters, 83.6% were removed by postoperative day 8. The positive surgical margin rate was 8%. CONCLUSIONS: In the hands of experienced surgeons, outcomes after open radical prostatectomy are excellent. Laparoscopic and robotic prostatectomy must be compared with concurrent experiences with open radical prostatectomy.
OBJECTIVES: To determine the impact of recent advances in surgical technique, management, and early detection on outcome after open radical retropubic prostatectomy. METHODS: Between October 2000 and August 2002, 500 men with clinically localized prostate cancer underwent radical retropubic prostatectomy by a single surgeon (H.L.). One of the unique aspects of this prospective outcomes analysis was that both data acquisition and entry were conducted totally independent of the primary surgeon. RESULTS: The mean operative and prostatectomy time was 142.9 and 65.2 minutes, respectively. A single ureteral injury was the only intraoperative complication. The overall incidence of pulmonary embolus and/or deep vein thrombosis was 0.4%. The overall risk of allogeneic transfusion was 4.6%. The mean length of hospital stay was 2.11 +/- 0.04 days. Of the catheters, 83.6% were removed by postoperative day 8. The positive surgical margin rate was 8%. CONCLUSIONS: In the hands of experienced surgeons, outcomes after open radical prostatectomy are excellent. Laparoscopic and robotic prostatectomy must be compared with concurrent experiences with open radical prostatectomy.
Authors: B Schlenker; C Gratzke; M Seitz; P von Walter; D Tilki; O Reich; D Zaak; C G Stief; M J Bader Journal: Eur J Med Res Date: 2010-03-30 Impact factor: 2.175
Authors: Jens-Uwe Stolzenburg; Robert Rabenalt; Minh Do; Benjamin Lee; Michael C Truss; Alan McNeill; Martin Burchardt; Udo Jonas; Evangelos N Liatsikos Journal: World J Urol Date: 2006-11-04 Impact factor: 4.226
Authors: Evangelos Liatsikos; Robert Rabenalt; Martin Burchardt; Miguel-Ramirez Backhaus; Minh Do; Anja Dietel; Johanna Wasserscheid; Costantinos Constantinides; Panagiotis Kallidonis; Michael C Truss; Thomas R Herrmann; Roman Ganzer; Jens-Uwe Stolzenburg Journal: World J Urol Date: 2008-09-10 Impact factor: 4.226