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“Radical Prostatectomy in the Management of Clinically Localized Prostate Cancer”
Guillonneau B, Cathelineau X, Doublet JD, et al.
Dr. Guillonneau and associates reported
on 350 consecutive patients who underwent laparoscopic
radical prostatectomy. Among the first 70 patients,
seven cases required doctors to convert to another treatment
method. The average operating time consisted of 217
minutes including a lymphadenectomy in 21.4% of patients.
For the remaining 200 patients, their operation took
approximately 195 minutes. The average blood loss was
354mL and in the last 250 patients the transfusion rate
reached 5.7% and 2.8%. During the operation, 14 patients
(4%) experienced complications. Most patients stayed
in the hospital following surgery at least 6 days. A
total of 133 patients (85.5%) maintained continence,
59% experienced a postoperative erection among 22 selected
consecutive patients.
"Laparoscopic Radical Prostatectomy. Technical aspects and experience with 125 cases."
Turk I, Deger S. et al.
In the hopes of making radical laparoscopy
prostatectomy a routine procedure Drs. Turk, Deger and
associates conducted a study of 125 patients who received
this form of prostate cancer treatment from 1999 to
2000. This included only patients with prostate cancer
T1
stage or T2 stage. At an average PSA
of 10.5ng/mL, 44% of patients had undergone previous
abdominal and 19% previous transurethral surgery. No
conversion to open surgery was needed. The average operating
time consisted of 255 minutes, the last 40 procedures
taking 200 minutes. Average blood loss was 185mL and
two patients required a blood transfusion postoperatively.
Patients stayed in the hospital approximately 8 days
following prostate surgery. During the operation, 5
patients (4%) experienced complications and afterwards
complications were seen in 13 patients (10.4%). Six
months after surgery 86% of the patients experienced
urinary continence. In some instances it has been possible
to preserve the neurovascular bundle and sexual potency.
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