Laparoscopic Radical Prostatectomy, Our Experience.
DOI:
https://doi.org/10.54212/27068048.v6i1.72Keywords:
Laparoscopic radical prostatectomy, Open or robotic radical prostatectomy, Prostate cancerAbstract
Minimal invasive techniques for treatment of prostate cancer are widely available, amongst them laparoscopic radical prostatectomy (LRP), which has proven to be as effective in an open or robotic approach, yielding excellent oncological and functional results.
A total of 18 patients were operated by a single surgeon between August 2017 and November 2018 using LRP in diverse hospitals in Tegucigalpa, Honduras.
A descriptive analysis of all 18 patients were as follows, an average patient age was 63 years old, ranging from 52-77 years. 66% of the patients corresponded to ISUP grades I and II. An average operating time was established at 181 minutes with a standard deviation of 14. In total, 28% (n=5) of the patients reported surgery related complications, yet all were minor complications according to the Clavien-Dindo classification. Post -operative length of stay was 3 days, ranging from 2-4 days.
Upon analysis of the specimens most patients corresponded to ISUP grades 1 and 2 (16.6% and 33.3% respectively). Two patients had positive surgical margins. Post-operative continency was 72% (n=13) while only 22.2% (n=4) had to use protective diaper during the day. With a mean follow-up 6 month postoperative (range:1-15 month), only 2 (11.1%) had a progressive elevation of prostatic specific antigen.
We conclude that LRP is feasible to do in our settings, with excellent short term oncological and functional results
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Copyright (c) 2018 Javier Flores, Natanael García, Humberto Cabrera, Carlos Fajardo, Luis Fiallos, Hector Ruiz, Juan Carlos Mendoza, Robert Gernat
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