Laparoscopic radical prostatectomy for high-risk prostate cancer (49 cases)

VernacularTitle:经腹膜外腹腔镜前列腺癌根治术治疗高危前列腺癌的临床研究（附49例报告）
Author: Peng QIAO ; Nianzeng XING
Keywords: laparoscopy; prostate cancer; high-risk
From: China Journal of Endoscopy 2016;22(2):87-90
CountryChina
Language:Chinese
Abstract: Objective To evaluate the safety and effect of extraperitoneal laparoscopic radical prostatectomy for high-risk prostate cancer. Methods From January 2012 to August 2015, 49 patients diagnosed high-risk prostate cancer underwent extraperitoneal laparoscopic radical prostatectomy with 'sandwich' urethra reconstruction. Results None converted to open surgery and the mean operative time was (2.15 ±0.29) h, mean intraoperative blood loss was (60.25 ± 20.29) ml. No rectal injury was observed. The patients were ambulant 1 to 2 days postoperatively. Pelvic lymph nodes metastasis was found in 5 cases. Positive margin was found in 13 cases. Mild urinary incontinence oc-curred in 3 cases. Urethral stenosis occurred in 2 cases. Biochemical relapses occurred on 5 cases during the follow-ing period of 1~43 months for 46 cases. Conclusions Extraperitoneal laparoscopic radical prostatectomy is safe and effective in treatment of high-risk prostate cancer. The very key is to master the anatomy of prostate and laparoscop-ic techniques.