The Functional and Oncological Outcomes of 242 cases of Extraperitoneal Laparoscopic Radical Prostatectomy

Authors

  • Pinit Chetthanukul Division of Urology, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Sittiporn Srinualnad Division of Urology, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

Keywords:

functional, oncological, extraperitoneal, laparoscopic, radical prostatectomy

Abstract

Objectives: We report the outcome of 242 cases of extraperitoneal laparoscopic radical prostatectomy performed by a single surgeon.

Methods: 242 patients with localized and locally advanced prostate cancer, who underwent extraperitoneal laparoscopic radical prostatectomy. Perioperative data, functional and oncological outcomes were evaluated.

Results: Average patients age was 66.67 years (range 42-83 years), and mean preoperative PSA level was 19.39 ng/ml (range 0.44-421 ng/ml). The mean operative time was 220 minutes. The mean intraoperative blood loss was 776.26 ml (range 50- 5,500 ml). 29.3% of cases were received blood transfusion. Margin positive rate was reported in pT2 and pT3 with 13.30% and 56.1%, respectively. The mean catheterization time and hospital stay duration were 9.73 days and 8.76 days, respectively. Continence outcome on 1st, 3rd, 6th, 12th month were 17.4%, 33%, 54% and 67.4%, respectively. 26 patients underwent nerve sparing procedure in patients younger than 60 years and the results in potency rate at 3, 6, 9 and 12 months were 7.7%, 27.8%, 41.2% and 69.2%, respectively.

Conclusions: Extraperitoneal laparoscopic radical prostatectomy is the minimally invasive surgery of prostate cancer benefits for pT2 staging with the good oncological outcomes and functional outcomes.

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References

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Published

2010-06-30

How to Cite

Chetthanukul, P., & Srinualnad, S. (2010). The Functional and Oncological Outcomes of 242 cases of Extraperitoneal Laparoscopic Radical Prostatectomy. Insight Urology, 31(1), 70–75. Retrieved from https://he02.tci-thaijo.org/index.php/TJU/article/view/252344

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