PURPOSE: The authors assess the morbidity, functional results and oncologic follow-up of a series of laparoscopic radical prostatectomies performed in over a 10-year period. MATERIALS AND METHODS: The data on 780 laparoscopic radical prostatectomies performed between September 1997 and December 2007 were stored in a personal database. The following parameters are described and critically analyzed: operative time, blood transfusions, conversions, length of hospital stay, complications, functional results of sexual potency and urinary continence, surgical margins and oncologic follow-up. RESULTS: Operative time averaged 125 minutes, with a mean bleeding volume of 335 mL and mean hospital stay of 4.3 days. The rate of conversion to open surgery was 1.36% and the overall complication rate was 14.24%. The pathology analysis showed pT2 tumors in 82.60% and pT3 tumors in 17.39% of cases. The overall positive margin rate was 19.58%, with a biochemical recurrence of 10.27% at a mean follow-up of 62.5 months. Urinary continence and sexual potency yielded rates of 88% and 61%, respectively, 12 months after surgery. CONCLUSIONS: Laparoscopic radical prostatectomy is a technically well-defined procedure that provides good oncologic and functional results after proper training.
PURPOSE: The authors assess the morbidity, functional results and oncologic follow-up of a series of laparoscopic radical prostatectomies performed in over a 10-year period. MATERIALS AND METHODS: The data on 780 laparoscopic radical prostatectomies performed between September 1997 and December 2007 were stored in a personal database. The following parameters are described and critically analyzed: operative time, blood transfusions, conversions, length of hospital stay, complications, functional results of sexual potency and urinary continence, surgical margins and oncologic follow-up. RESULTS: Operative time averaged 125 minutes, with a mean bleeding volume of 335 mL and mean hospital stay of 4.3 days. The rate of conversion to open surgery was 1.36% and the overall complication rate was 14.24%. The pathology analysis showed pT2 tumors in 82.60% and pT3tumors in 17.39% of cases. The overall positive margin rate was 19.58%, with a biochemical recurrence of 10.27% at a mean follow-up of 62.5 months. Urinary continence and sexual potency yielded rates of 88% and 61%, respectively, 12 months after surgery. CONCLUSIONS: Laparoscopic radical prostatectomy is a technically well-defined procedure that provides good oncologic and functional results after proper training.
Authors: José Gustavo Olijnyk; Leandro Totti Cavazzola; José Eduardo de Aguilar-Nascimento; Miguel Prestes Nácul; Elias Couto e Almeida Filho Journal: World J Surg Date: 2014-08 Impact factor: 3.352
Authors: Shashikant Mishra; Vikas Agrawal; Naushad Khatri; Rajan Sharma; Abraham Kurien; Arvind Ganpule; V Muthu; Ravindra B Sabnis; Mahesh R Desai Journal: Indian J Urol Date: 2012-01
Authors: José Anastácio Dias; Marcos F Dall'oglio; João Roberto Colombo; Rafael F Coelho; William Carlos Nahas Journal: Int Braz J Urol Date: 2017 Sep-Oct Impact factor: 1.541