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Both procedures associated with similar complications and need for additional treatment

-- A. Agrawal, PhD

Friday, February 26, 2010 (Last Updated: 03/01/2010)

FRIDAY, Feb. 26 (HealthDay News) -- Men with prostate cancer have similar postoperative complications and need for additional treatment regardless of whether they undergo radical prostatectomy by an open or laparoscopic procedure, according to a study published online Feb. 25 in The Journal of Urology.

William T. Lowrance, M.D., of the Memorial Sloan-Kettering Cancer Center in New York City, and colleagues examined postoperative outcomes and need for subsequent cancer treatment in 5,923 men, aged 66 years and older, with localized prostate cancer who underwent radical prostatectomy, where 82 percent underwent open prostatectomy and 18 percent underwent laparoscopic prostatectomy with or without robotic assistance.

The researchers found that, after adjusting for patient and tumor characteristics, the two groups had similar rates of mortality, general medical or surgical complications, genitourinary or bowel complications, and postoperative radiation and/or androgen deprivation. However, laparoscopic surgery was associated with a 35-percent shorter hospital stay and a lower risk of lower bladder neck or urethral obstruction (odds ratio, 0.74). For laparoscopic surgery, higher surgeon volume was associated with shorter hospital stays and a lower likelihood of any genitourinary or bowel complications.

"Laparoscopic prostatectomy and open radical prostatectomy have similar rates of postoperative morbidity and additional treatment. Men considering prostate cancer surgery should understand the expected benefits and risks of each technique to facilitate decision making and set realistic expectations," the authors write.

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Specialties Oncology
OBGYN & Women's Health

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