Laparoendoscopic single-site radical prostatectomy
10.3760/cma.j.issn.1000-6702.2011.03.022
- VernacularTitle:单孔腹腔镜下根治性前列腺切除术的初步经验
- Author:
Gang ZHU
;
Yaqun ZHANG
;
Yaoguang ZHANG
;
Bin JIN
;
Dong WEI
;
Ben WAN
;
Jianye WANG
- Publication Type:Journal Article
- Keywords:
Laparoendoscopic single site surgery;
Prostatic neoplasmas;
Carcinoma;
Radical prostatectomy
- From:
Chinese Journal of Urology
2011;32(3):209-211
- CountryChina
- Language:Chinese
-
Abstract:
Objective To verify the safety and feasibility of applying laparoendoscopic singlesite radical prostatectomy (LESS-LRP) in the treatment of prostate cancer. Methods From Sept. to Dec. 2010, LESS-LRP was used to treat 2 early stage prostate cancer patients. The LESS-LRP was preformed through extra-peritoneal approach by using standard laparoscopic instruments and a 5 mm flexible laparoscope. This technique were evaluated in respects of operative time, estimated blood loss, intraoperative complications, drainage time, post-operative pain score (VAPS), post-operative hospital stay, pathological results and post-operative PSA levels. Results All procedures of the 2cases were completed with LESS-LRP without conversion to standard laparoscopic or open radical prostatectomy. The operative times for LESS-LRP were 280 and 285 min, estimated blood loss were 400 and 200 ml, respectively. There was no severe intraoperative complication. The drainage times were 2 and 6 d, the VAPS in the first post-operative day were 1 and 0, and post-operative hospital stay were 14 and 7 d. There was no secondary bleeding or wound infection. The 2 prostate cancer cases were all in pathological stage pT2c N0 M0. Surgical margins of the specimens were negative. The first case showed PSA of 0. 033 ng/ml 1 month after the surgery. Conclusion LESS-LRP can be an exploratory option in clinical for the treatment of prostate cancer.
