Clinical analysis of extraperitoneal laparoscopic radical prostatectomy
10.3760/cma.j.issn.1008-6315.2015.11.022
- VernacularTitle:经腹膜外腹腔镜前列腺癌根治术的临床分析
- Author:
Yi'ao TAN
;
Linyu ZHOU
;
Hao CHEN
;
Jun XIAO
;
Qiang XUAN
;
Shaoshan WU
;
- Publication Type:Journal Article
- Keywords:
Prostate cancer;
Laparoscopy;
Extraperitoneal;
Radical prostatectomy
- From:
Clinical Medicine of China
2015;31(11):1032-1034
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and the clinical value of extraperitoneal laparoscopic radical prostatectomy in treatment of localized prostate cancer.Methods Clinical data of 26 patients with localized prostate cancer treated with extraperitoneal laparoscopic radical prostatectomy were analyzed retrospectively.All patients were pathologic diagnosed with prostate cancer by preoperative prostate biopsy or transurethral resection of prostate surgery.Gleason grade was from 6-8.Results Twenty-six operations were successfully accomplished ,without converting to open approach.The operative time was 120-270 min(mean was 165 min) ,the intraoperative blood loss was 180-650 ml (mean was 320 ml) ,indwelling catheter time 12-19 d (mean was 14 d).There were 6 cases with little uroclepsia, satisfactory with urination after contract urethral sphincter for 1-3 Months.Pathologically confirmed all prostate cancer;2 cases of positive margins after surgery plus endocrine therapy.All the cases were followed up from 2 to 36 months.The biochemical recurrence was 5 cases who had undergone endocrine therapy.Conclusion Extraperitoneal laparoscopic radical prostatectomy is a safe and feasible procedure with little trauma, small bleeding and fast recovery which is well worth popularizing.Replace open surgery may become frist choice therapeutic method for localized prostate cancer.
