LAPAROSCOPIC RADICAL PROSTATECTOMY (HEILBRONN TECHNIQUE): OUR INITIAL OUTCOMES

被引:0
作者
Tugcu, Volkan [1 ]
Polat, Hakan [1 ]
Sahin, Selcuk [1 ]
Bitkin, Alper [1 ]
Eren, Glay [2 ]
Tasci, Ali Ihsan [1 ]
机构
[1] Bakirkuy Dr Sadi Konuk Egitim & Arastirma Hastan, Urol Klin, Istanbul, Turkey
[2] Bakirkuy Dr Sadi Konuk Egitim & Arastirma Hastan, Anestezi & Reanimasyon Klin, Istanbul, Turkey
来源
TURKISH JOURNAL OF UROLOGY | 2008年 / 34卷 / 04期
关键词
Prostate cancer; Laparoscopy; Radical prostatectomy;
D O I
暂无
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Introduction: The operative and follow-up data of the cases undergoing laparoscopic radical prostatectomy (LRP) in our clinic were evaluated. Materials and Methods: LRP was performed in 32 patients (mean age: 63.1 +/- 6.4 years) with clinically organ-confined prostate cancer. Data about routine preoperative evaluations, perioperative and postoperative data and follow-up outcomes were evaluated. Results: Mean operative time and mean time for vesicourethral anastomosis were 257.1 +/- 20.9 min and 35.1 +/- 8.2 min, respectively. Bilateral pelvic lymphadenectomy in 5 patients and a nerve-sparing technique in 4 patients were performed within our series. Mean estimated blood loss was 540 +/- 156.3 ml and 8 (25%) patients required perioperative transfusion. The procedure was converted to open technique in 1 patient due to bladder perforation. No analgesic medication was needed in 15 (48%) patients after postoperative 2nd day. The mean of total narcotic analgesic (pethidine HCl) used during postoperative period (mean: 5.3 days) was 48.1 +/- 15.7 mg. Mean catheterization time was 11.4 +/- 2.0 days. An anastomotic stricture developed in 4 patients during late postoperative period. These patients were treated by internal urethrotomy. Conclusion: Laparoscopic radical prostatektomi, is hard to apply and long-learning procedure. The clinic that is at the beginning of the learning period must be more selective about the patient selection. By gaining experience, operation time and complication percentage will decrease and it can be applied to a larger patient group.
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收藏
页码:413 / 418
页数:6
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