Laparoscopic radical prostatectomy
نویسندگان
چکیده
Millions of men are diagnosed annually with prostate cancer worldwide. With the advent of PSA screening, there has been a shift in the detection of early prostate cancer, and there are increased numbers of men with asymptomatic, organ confined disease. Laparoscopic radical prostatectomy is the latest, well accepted treatment that patients can select. We review the surgical technique, and oncologic and functional outcomes of the most current, large series of laparoscopic radical prostatectomy published in English.Positive margin rates range from 2.1-6.9% for pT2a, 9.9-20.6% for pT2b, 24.5-42.3% for pT3a, and 22.6-54.5% for pT3b. Potency rates after bilateral nerve sparing laparoscopic radical prostatectomy range from 47.1 to 67%. Continence rates at 12 months range from 83.6 to 92%.
منابع مشابه
Dorsal vein complex preserving technique for intrafascial nerve-sparing laparoscopic radical prostatectomy
OBJECTIVES To describe a novel dorsal vein complex preserving technique for intrafascial nerve-sparing laparoscopic radical prostatectomy and to evaluate its postoperative outcomes. METHODS A total of 109 patients who underwent laparoscopic radical prostatectomy by a single surgeon were evaluated, including 44 patients with dorsal vein complex preserving technique for intrafascial nerve-spari...
متن کاملPitfalls of robot-assisted radical prostatectomy: a comparison of positive surgical margins between robotic and laparoscopic surgery.
OBJECTIVES To compare the surgical outcomes of laparoscopic radical prostatectomy and robot-assisted radical prostatectomy, including the frequency and location of positive surgical margins. METHODS The study cohort comprised 708 consecutive male patients with clinically localized prostate cancer who underwent laparoscopic radical prostatectomy (n = 551) or robot-assisted radical prostatectom...
متن کاملUrodynamic Evaluation of Vesicourethral Function after Laparoscopic Radical Prostatectomy: Comparison with Open Radical Prostatectomy
Aims of study Laparoscopic radical prostatectomy for prostate cancer has been gaining wider acceptance as an alternative procedure to open radical prostatectomy. The laparoscopic surgery have been reported to be less invasive and expected to give more favorable impacts on postoperative urinary continence as compared with the open procedure. However, the precise impacts of the laparoscopic proce...
متن کاملA comparison of the incidence and location of positive surgical margins in robotic assisted laparoscopic radical prostatectomy and open retropubic radical prostatectomy.
PURPOSE Surgical technique, patient characteristics and method of pathological review may influence surgical margin status. We evaluated the incidence and location of positive surgical margins in 200 sequential robotic assisted laparoscopic radical prostatectomy and 200 sequential open radical retropubic prostatectomy cases. MATERIALS AND METHODS From July 2002 until December 2006 a total of ...
متن کاملNerve-sparing laparoscopic radical prostatectomy at Siriraj Hospital.
BACKGROUND Quality of life after laparoscopic radical prostatectomy has been a discussed issue among patients. Nerve-sparing radical prostatectomy has been shown to be superior to non-nerve-sparing radical prostatectomy in terms of potency and continence. The authors have reported their experience of laparoscopic radical prostatectomy and now developed our technique of nerve-sparing laparoscopi...
متن کاملPure laparoscopic and robotic-assisted laparoscopic radical prostatectomy in the management of prostate cancer.
BACKGROUND Until recently, open radical prostatectomy was the only approach for the surgical management of prostate cancer. Laparoscopy is now increasingly used as an alternative approach. The procedure can be performed directly or with robot assistance. METHODS We review the relevant literature regarding oncologic and functional outcomes with laparoscopic surgery in the management of localiz...
متن کامل