Laparoscopic Radical Prostatectomy: Preliminary Results
C. C. Abbou, L. Salomon, A. Hoznek, et al.
Abramson Cancer Center of the University of Pennsylvania
Last Modified: November 1, 2001
Reviewers: Li Liu, MD
Source: Urology, Volume 55:630-634, (May) 2000.
Précis: Laparoscopy permits more precise dissection during radical prostatectomy
IntroductionThe standard surgical procedure for patients with organ confined prostate cancer has been retropubic radical prostatectomy. Minimally invasive surgical techniques have received a great deal of recent attention because of the potential for decreased postoperative discomfort, minimal disfigurement, and quicker recovery than traditional techniques. As a minimally invasive technique, laparoscopy has been used to treat many urologic disease entities and has demonstrated both clinical and economic advantages in several settings. This report is of a preliminary evaluation of the technique for radical prostatectomy.
MethodIn this study, a total of 43 men with early stage prostate cancer underwent laparoscopic radical prostatectomy with or without lymphadenectomy.
- Median operating time after the first 10 patients was 4.3 hours in 21 patients without lymphadenectomy and 5.1 hours in 12 patients with lymphadenectomy.
- None of the patients required conversion to open surgery.
- At one month after surgery, serum prostate-specific antigen (PSA) levels were less than 0.1 ng/mL in all patients.
- Thirty-six patients (84%) were fully continent one month after surgery, and the remaining seven reported only minor incontinence.