Laparoscopic radical prostatectomy: 10 years experience
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. Material and Methods: The data on 780 laparoscopic radical prostatectomies performed between September 1997 and December 2007...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2009-10-01
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| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382009000500008 |
| _version_ | 1819207296822018048 |
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| author | Mirandolino B. Mariano Marcos V. Tefilli Gilvan N. Fonseca Isidoro H. Goldraich |
| author_facet | Mirandolino B. Mariano Marcos V. Tefilli Gilvan N. Fonseca Isidoro H. Goldraich |
| author_sort | Mirandolino B. Mariano |
| collection | DOAJ |
| description | 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. Material 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. |
| first_indexed | 2024-12-23T05:21:15Z |
| format | Article |
| id | doaj.art-671b503c5f474c8994d682e5513cd0df |
| institution | Directory Open Access Journal |
| issn | 1677-5538 1677-6119 |
| language | English |
| last_indexed | 2024-12-23T05:21:15Z |
| publishDate | 2009-10-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-671b503c5f474c8994d682e5513cd0df2022-12-21T17:58:42ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192009-10-0135556557210.1590/S1677-55382009000500008Laparoscopic radical prostatectomy: 10 years experienceMirandolino B. MarianoMarcos V. TefilliGilvan N. FonsecaIsidoro H. GoldraichPurpose: 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. Material 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382009000500008prostatic neoplamsprostatectomylaparoscopic surgeryoutcomes |
| spellingShingle | Mirandolino B. Mariano Marcos V. Tefilli Gilvan N. Fonseca Isidoro H. Goldraich Laparoscopic radical prostatectomy: 10 years experience International Brazilian Journal of Urology prostatic neoplams prostatectomy laparoscopic surgery outcomes |
| title | Laparoscopic radical prostatectomy: 10 years experience |
| title_full | Laparoscopic radical prostatectomy: 10 years experience |
| title_fullStr | Laparoscopic radical prostatectomy: 10 years experience |
| title_full_unstemmed | Laparoscopic radical prostatectomy: 10 years experience |
| title_short | Laparoscopic radical prostatectomy: 10 years experience |
| title_sort | laparoscopic radical prostatectomy 10 years experience |
| topic | prostatic neoplams prostatectomy laparoscopic surgery outcomes |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382009000500008 |
| work_keys_str_mv | AT mirandolinobmariano laparoscopicradicalprostatectomy10yearsexperience AT marcosvtefilli laparoscopicradicalprostatectomy10yearsexperience AT gilvannfonseca laparoscopicradicalprostatectomy10yearsexperience AT isidorohgoldraich laparoscopicradicalprostatectomy10yearsexperience |