[Clinical outcomes and problems in laparoscopic radical prostatectomy].
We evaluated the clinical outcome and problem of laparoscopic radical prostatectomy (LRP) for 115 prostate cancer patients. Mean (+/- SD) operative time was 294 +/- 57.5 min. and mean blood loss was 409.5 +/- 336.4 g. Mean duration of urethral catheter indwelling was 4 +/- 4.9 days and mean postoperative hospital stay was 8 +/- 4.6 days. Fifty one and 83% of the patients recovered urinary continence one month and 3 months after surgery in the latest procedure, respectively. Positive surgical margin was seen in 18 patients (15.7%) in total, but in 6 patients (6.6%) with pT2 > or = disease. Chemical relapse was seen in 14 patients (14.4%). Although oncological results of LRP are compatible to those of RRP, delay of early recovery of urinary continence is still the problem.
Terachi
Toshiro
T
Department of Urology, Tokai University School of Medicine.
Usui
Yukio
Y
D014408:Biomarkers, Tumor / Q000097:blood; D002408:Catheters, Indwelling; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000453:epidemiology; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000453:epidemiology; D017430:Prostate-Specific Antigen / Q000097:blood; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000453:epidemiology
D014408:Biomarkers, Tumor; D017430:Prostate-Specific Antigen