The Results of Laparoscopic radical prostatectomy in prostatic cancer patients at the Sunpasittiprasong hospital: A 5-year review

Abstract

Objective To review the results of surgery and postoperative data from experienced urologist in Sunpasittiprasong hospital.

Material and methods This retrospective descriptive study was studied among patients diagnosed with prostate cancer and underwent laparoscopic radical prostatectomy (LRP) in Sunpasittiprasong hospital from 2016 to 2021. All patients’ demographic data, postoperative

parameters and pathological results were recorded and analyzed.

Results Of 17 patients, the mean age of patients was 67.9 years old (62.6-73.2). The median of initial PSA level was 15.3 (10.8-27.9). The median length of stay (LOS) was 13 days (11-18). More than half of patients were clinical stage T1-T2 (70.7%) and grade group 1-2 (78%). Mean operative time was 450 min (360-530). The median estimated blood loss (EBL) was 800 mL (550-1,500). Three intraoperative complications occurred: 1 vessel injury (5.9%), 1 rectal injury (5.9%) and 1 ureteric orifice injury (5.9%). Only 2 patients (11.8%) were converted to open surgery, 1 was due to major vessel injury and another one was due to intraoperative abnormal EKG. Only one patient (5.9%) was dead in this study. The median catheter time was 16 days (9-24). Postoperative complications, there were 7 urine leakage (43.8%), 3 developed urinary tract infection (UTI) (17.6%) and 1 hemorrhagic shock (6.3%). 10 patients had incontinence (62.5%) after 1-year follow-up. Overall positive surgical margin status was 50% (20% for pT2 and 100% for pT3).

Conclusion Although LRP in our practice gives many benefits, rarely mortality, complications mostly minor and could be managed conservatively, positive surgical margin and continence

rate were slightly higher compared to other series. Our practice skills and surgical technique still needs to gain more experienced and further improvement. To help in decreasing rates of the negative oncological and improve postoperative quality of life and overall survival of the patients.