Laparoscopic transperitoneal radical prostatectomy in renal transplant recipients: a review of the literature.
OBJECTIVE
To report our experience with laparoscopic radical prostatectomy (LRP) for the treatment of localized prostate carcinoma in two renal transplant recipients and a review of the literature.


METHODS
We retrospectively identified all patients who had undergone LRP for clinically localized prostate cancer between 2002 and 2008 at our institution (n = 1150). Of these patients, two were renal transplant recipients (one with donor renal transplant cadaver and the other with prior transplantectomy). We reviewed all available clinicopathological data and the scientific literature.


RESULTS
The two patients underwent successful LRP with no major complications. The mean (range) operative time was 200 (180-220) min with a mean estimated blood loss of 300 (200-400) mL. There were no changes in renal graft function as measured by serum creatinine level. At pathology, the surgical margins were negative and disease was organ-confined in each case. The two patients tolerated the procedure well and had a mean (range) hospital stay of 3.5 (3-4) days.


CONCLUSIONS
The data from our two patients suggest that LRP, as an accepted minimally invasive treatment for a middle-aged man with organ-confined prostate cancer, is a technically feasible and safe treatment of localized prostate cancer in renal transplant recipients.
Maestro
Mario Alvarez
MA
Department of Urology, Hospital Universitario La Paz, Madrid, Spain. malvarezmaestro@hotmail.com
Gómez
Angel Tabernero
AT
Alonso Y Gregorio
Sergio
S
Ledo
Jesús Cisneros
JC
de la Peña Barthel
Javier
J
Martínez-Piñeiro
Luis
L
D005240:Feasibility Studies; D006801:Humans; D016030:Kidney Transplantation; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome