Extraperitoneal laparoscopic adenomectomy for benign prostatic hyperplasia.
OBJECTIVE
We assessed the feasibility of extraperitoneal laparoscopic prostatectomy in pilots in China.


METHODS
Extraperitoneal laparoscopic retropubic prostatectomy has been performed in 45 patients with prostatic weight more than 60 g between May 2005 and May 2008. The laparoscopic approach was standard in all cases as follows: creation of a preperitoneal workspace, haemostatic control of lateral venous vesicoprostatic pedicles, transversal anterior incision of the prostate capsule, prostatic adenomectomy and retrieval of the specimen.


RESULTS
The average prostate resected weight was 78.2 +/- 16.3 g. Mean operative time was 105.4 +/- 26.5 min. Conversion to open prostatectomy was not required. The transfusion was essential in three cases. During a 6 months follow-up period for 40 cases, the mean score of IPSS decreased from 25.5 +/- 2.4 to 6.2 +/- 2.1, Q(max) increased from 6.1 +/- 2.8 to 18.7 +/- 3.4 ml/s. None of the patients presented with urinary incontinence.


CONCLUSIONS
In our experience, laparoscopic extraperitoneal adenomectomy (Millin's procedure) is feasible with minimal invasion and is a simple straightforward technique.
Zhou
Lin-Yu
LY
Department of Urology, Anhui Provincial Hospital, Anhui Medical University, Lujiang Road, Hefei 230001, Anhui province, China.
Xiao
Jun
J
Chen
Hao
H
Zhu
Yu-Ping
YP
Sun
You-Wen
YW
Xuan
Qiang
Q
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000601:surgery*