Is laparoscopic radical prostatectomy after transurethral prostatectomy appropriated?
OBJECTIVE
To evaluate the appropriateness and morbidity of laparoscopic radical prostatectomy (LRP) in patients who had previous trans urethral prostatectomy (TURP).


METHODS
From February 2005 to February 2006, 27 patients with clinical localized prostate cancer underwent LRP with the same technique by a single surgeon. Nineteen patients were diagnosed with trans rectal ultrasound guided biopsy (TRUSBX) and eight patients were diagnosed with TURP Operative data and pathological outcomes were evaluated between the two group.


RESULTS
Mean operative time and blood loss in TURSBX group were 233 minutes and 610 ml while those in TURP group were 251 minutes and 812 ml, respectively. These were not significantly different (all p valve > 0.1). There was no significant complication or mortality in either groups. LRP could achieve high free margin rate. Of 19 patients with pathological localized disease, 17 (89.4%) had free margin. It was found in 12 of 14 patients (85.7%) in TRUSBX group and in all patients in the TURP group.


CONCLUSIONS
LRP is appropriate to undergo in prostate cancer patients with previous TURP LRP after TURP did not have a higher morbidity than LRP after TRUSBX and did not compromise free margin rate.
Leewansangtong
Sunai
S
Division of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkoknoi, Bangkok, Thailand. sislt@mahidol.ac.th
Taweemonkongsap
Tawatchai
T
D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery*; D013997:Time Factors; D020728:Transurethral Resection of Prostate