title: Complications, urinary continence, and oncologic outcomes of laparoscopic radical prostatectomy: single-surgeon experience for the first 100 cases.
abstract: Objective. The aim of the present study was to evaluate initial learning curves of laparoscopic radical prostatectomy (LRP) with regard to complications, urinary continence, and oncologic outcome. Materials and Methods. We retrospectively reviewed 100 consecutive patients with clinically localized prostate cancer. All 100 patients underwent LRP performed by the same urologist at one institution.
  
  
  RESULTS
  Mean operating time (208.4 ± 48.6 min), estimated blood loss (495.8 ± 436.5 mL), allogeneic blood transfusion rate (0%), and intraoperative complications diminished with surgical experience. Positive margin rate varied greatly among pathological stage (positive margin rates: pT2 = 20.5%; pT3 = 63.0%). A trend towards reduction of positive surgical margins in pT2 cases was apparent with increasing experience. Intraoperative and early complications occurred in 2.0% of patients. In all patients, 85.9% used none or no more than one pad per 24 h at 6 months postoperatively. Prostate-specific antigen recurrence was seen in only 2 patients. Conclusions. In the present series of 100 patients, our retrospective evaluation confirms that LRP provides satisfactory results.
authors: Department of Urology, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan.
authors: Takashi
authors: T
authors: Imamoto
authors: Yusuke
authors: Y
authors: Goto
authors: Takanobu
authors: T
authors: Utsumi
authors: Miki
authors: M
authors: Fuse
authors: Koji
authors: K
authors: Kawamura
authors: Naoto
authors: N
authors: Kamiya
authors: Yukio
authors: Y
authors: Naya
authors: Hiroyoshi
authors: H
authors: Suzuki
authors: Yukihiro
authors: Y
authors: Kondo
authors: Tomohiko
authors: T
authors: Ichikawa