Laparoscopic radical prostatectomy: transperitoneal anterior bladder approach versus transperitoneal pos-terior bladder approach
10.3760/cma.j.issn.1000-6702.2009.02.017
- VernacularTitle:腹腔镜下前列腺癌根治术经膀胱前入路与膀胱后入路疗效比较
- Author:
Baoxing LI
;
Suzuki KAZUO
;
Tsuru NOBUO
;
Ushiyama TORNOMI
;
Ozono SEICHRO
- Publication Type:Journal Article
- Keywords:
Prostatic neoplasms;
Carcinoma;
Laparoscopes;
Radical prostatectomy;
Anterior or posterior approach
- From:
Chinese Journal of Urology
2009;30(2):117-119
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare perioperative parameters, as well as the oncological and func-tional results, for laparoscopic radical prostatectomy (LRP) performed via the posterior bladder and anterior bladder approaches. Methods The recorded pre-, peri-, and postoperative parameters and complications, and evaluated the oncological and functional results were collected and compared be-tween the posterior bladder approach (n=25) and the anterior bladder approach (n=34). Results There were no significant differences regarding the preoperative characteristics of the two groups. The mean blood loss, complications, positive surgical margins, and continence showed no significant differences between the 2 groups at 3 and 6 months postoperatively. The mean operation time was sig-nificantly shorter in anterior bladder approach group (174.2±58. 0 min) than in posterior bladder ap-proach group (224. 8±66.7 rain), (P<0. 01). Also, the postoperative recovery time until discharge was 5.9 d in anterior bladder approach group, which was significantly shorter than in posterior bladder approach group (7.5 d) (P<0.05). Conclusion The anterior bladder approach yields shorter oper-ation time and postoperative recovery period than posterior bladder approach for LRP.
