Comparative analysis of radical prostatectomy techniques using perineal or suprapubic approach in the treatment of localized prostate cancer
ABSTRACT Objective: To compare the results of radical prostatectomy by perineal and suprapubic approaches as to operative time, procedure costs, and surgical site complications. Methods: The medical records of localized prostate cancer patients (PSA ≤ 10 ng/ml and Gleason score ≤ 6) were analyzed....
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2010-06-01
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082010000200200&tlng=en |
| _version_ | 1818988841381396480 |
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| author | Gelbert Luiz Chamon do Carmo Amorim Geraldo Magela Gomes da Cruz Denny Fabrício Magalhães Veloso José David Kartabil José Carlos Vieira Paulo Roberto Alves |
| author_facet | Gelbert Luiz Chamon do Carmo Amorim Geraldo Magela Gomes da Cruz Denny Fabrício Magalhães Veloso José David Kartabil José Carlos Vieira Paulo Roberto Alves |
| author_sort | Gelbert Luiz Chamon do Carmo Amorim |
| collection | DOAJ |
| description | ABSTRACT Objective: To compare the results of radical prostatectomy by perineal and suprapubic approaches as to operative time, procedure costs, and surgical site complications. Methods: The medical records of localized prostate cancer patients (PSA ≤ 10 ng/ml and Gleason score ≤ 6) were analyzed. Fifty-five patients were submitted to radical prostatectomy by perineal approach and 54 via suprapubic approach. Results: There were statistical differences between groups as to operative time (p < 0.05); for perineal approach it was in average 114 minutes (SD ± 0.03) and for suprapubic approach, an average of 167 minutes (SD ± 0.041). Prostatectomy via perineal approach resulted in 11 cases of surgical complications, and suprapubic approach, 3 cases. Conclusions: Radical prostatectomy via perineal approach took less time at a lower cost as compared to the suprapubic approach. However, there were more complications in patients submitted to perineal approach, mainly rectal lesions. |
| first_indexed | 2024-12-20T19:28:59Z |
| format | Article |
| id | doaj.art-b7bbcd7e3337443f99319cb4a82a4f26 |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-12-20T19:28:59Z |
| publishDate | 2010-06-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-b7bbcd7e3337443f99319cb4a82a4f262022-12-21T19:28:50ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852010-06-018220020410.1590/s1679-45082010ao1592Comparative analysis of radical prostatectomy techniques using perineal or suprapubic approach in the treatment of localized prostate cancerGelbert Luiz Chamon do Carmo AmorimGeraldo Magela Gomes da CruzDenny Fabrício Magalhães VelosoJosé David KartabilJosé Carlos VieiraPaulo Roberto AlvesABSTRACT Objective: To compare the results of radical prostatectomy by perineal and suprapubic approaches as to operative time, procedure costs, and surgical site complications. Methods: The medical records of localized prostate cancer patients (PSA ≤ 10 ng/ml and Gleason score ≤ 6) were analyzed. Fifty-five patients were submitted to radical prostatectomy by perineal approach and 54 via suprapubic approach. Results: There were statistical differences between groups as to operative time (p < 0.05); for perineal approach it was in average 114 minutes (SD ± 0.03) and for suprapubic approach, an average of 167 minutes (SD ± 0.041). Prostatectomy via perineal approach resulted in 11 cases of surgical complications, and suprapubic approach, 3 cases. Conclusions: Radical prostatectomy via perineal approach took less time at a lower cost as compared to the suprapubic approach. However, there were more complications in patients submitted to perineal approach, mainly rectal lesions.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082010000200200&tlng=enProstatectomy/methodsProstatectomy/economicsProstatectomy/adverse effectsProstatic neoplasms |
| spellingShingle | Gelbert Luiz Chamon do Carmo Amorim Geraldo Magela Gomes da Cruz Denny Fabrício Magalhães Veloso José David Kartabil José Carlos Vieira Paulo Roberto Alves Comparative analysis of radical prostatectomy techniques using perineal or suprapubic approach in the treatment of localized prostate cancer Einstein (São Paulo) Prostatectomy/methods Prostatectomy/economics Prostatectomy/adverse effects Prostatic neoplasms |
| title | Comparative analysis of radical prostatectomy techniques using perineal or suprapubic approach in the treatment of localized prostate cancer |
| title_full | Comparative analysis of radical prostatectomy techniques using perineal or suprapubic approach in the treatment of localized prostate cancer |
| title_fullStr | Comparative analysis of radical prostatectomy techniques using perineal or suprapubic approach in the treatment of localized prostate cancer |
| title_full_unstemmed | Comparative analysis of radical prostatectomy techniques using perineal or suprapubic approach in the treatment of localized prostate cancer |
| title_short | Comparative analysis of radical prostatectomy techniques using perineal or suprapubic approach in the treatment of localized prostate cancer |
| title_sort | comparative analysis of radical prostatectomy techniques using perineal or suprapubic approach in the treatment of localized prostate cancer |
| topic | Prostatectomy/methods Prostatectomy/economics Prostatectomy/adverse effects Prostatic neoplasms |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082010000200200&tlng=en |
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