Laparoscopic radical prostatectomy: 10 years of experience at a single institution.
OBJECTIVE
The Urological Clinic of the S. Orsola-Malpighi University Hospital, Bologna has been carrying out laparoscopic radical prostatectomy since 2002. In this study, we report the results after 10 years of LRP, analyzing in particular the oncological and functional aspects.


METHODS
Between March 2002 and August 2011, 400 patients underwent laparoscopic radical prostatectomy. Cancer control, recovery of continence and potency were evaluated at 1, 3, 6 and 12 months. All data were retrospectively collected on the basis of thorough clinical and pathological examination.


RESULTS
Follow-up ranged from 10 to 122 months. Pathological examination revealed pT2 and pT3 cancers in 63.5% and 36.5% of patients, respectively. The incidence of positive surgical margins and biochemical relapse rate was 33.8% and 12.0%, respectively.


CONCLUSIONS
10 Years after the first laparoscopic radical prostatectomy was performed at our Center, we can state that it is a reliable alternative to traditional surgery, with satisfactory oncological and functional results.
Urological Unit of the Infermi Hospital, Viale L. Settembrini 2, 47924 Rimini (RN), Italy. alessandrobaccos@libero.it.
Fabio
F
Manferrari
Eugenio
E
Brunocilla
Alessandro
A
Baccos
Alessandro
A
Bertaccini
Marco
M
Garofalo
Marco
M
Borghesi
Riccardo
R
Schiavina
Giuseppe
G
Martorana
D000328:Adult; D000368:Aged; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome
Prostate cancer; biochemical relapse; erectile function; functional outcome; laparoscopic radical prostatectomy; laparoscopy; oncologic outcome; urinary continence