Outcome of extraperitoneal laparoscopic radical prostatectomy :single-surgeon initial experience for the first 100 cases
Keywords:
laparoscopic radical prostatectomy, prostate cancer, learning curveAbstract
Objective: To evaluate the outcome of technical feasibility, oncologic effectiveness, and perioperative and postoperative morbidity in the first 100 cases of a single surgeon.
Material and Method: This retrospective study collected data from the first case series of patients who underwent laparoscopic radical prostatectomy (LRP) by a single surgeon at the same institution from October 2011 to April 2013: 100 patients with clinically localized prostate cancer, including age, preoperative prostate-specific antigen (PSA), prostate volume, Gleason score, operation time, blood loss, surgical margin, incontinence rate, erectile function and complications.
Result: The mean age was 64.37 (43-77) years. Mean preoperative PSA was 4.2-370 ng/mL and prostate volume was 10-132 (39.01) mL. The mean operative time was 229 min. Mean blood loss was 487.52 mL. There were five surgical complications, four rectal injuries (first 30 cases) and one conversion to open surgery (5 of 100 cases).
Conclusion: We think that extraperitoneal laparoscopic radical prostatectomy requires a highly experienced surgeon in order to improve the outcomes of surgery.
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