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2007, Number 3

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Bol Col Mex Urol 2007; 22 (3)

Experiencia inicial en prostatectomía radical laparoscópica en el Hospital de Especialidades del Centro Médico Nacional Siglo XXI, IMSS

Tabares GFJ, Moreno PJ, Montoya MG, Serrano BEA
Full text How to cite this article

Language: Spanish
References: 11
Page: 108-112
PDF size: 51.52 Kb.


Key words:

Radical prostetectomy, laparoscopy, prostate cancer.

ABSTRACT

Objective: To show the experience of extraperitoneal laparoscopic radical prostatectomy in our institution and compare it with international reports. Material and method: From November 2004 to December 2007 we performed 18 laparoscopic radical prostatectomies in patients with localized prostate cancer. All patients were evaluated with digital rectal exam, prostatic specific antigen and transrectal prostatic biopsies. All the procedures were performed by single surgeon and the outcomes were evaluated in a retrospective manner. Results: Four patients needed conversion to open surgery, the opering time was 302 min; blood loss was 700 mL; four patients required blood transfusion; the mean hospital day care was 4.5 days; the postoperatory cancer stage was: two patients pT2a, five patients pT2b, three patients pT2c, seven patients pT3a and one patient with pT3b. Conclusion: The laparoscopic radical prostatectomy is a safe and effective treatment for localized prostate cancer in hands of experimented surgeons, with advantage comparing with open surgery without increasing complications.


REFERENCES

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  2. Boccon-Gibod L. Radical prostatectomy: Open? laparoscopic?, Robotic? Eur Urol 2006; 49: 98-9.

  3. Guazoni G, Cestari A, Naspro R. Intra and peri-operative outcomes comparing radical retropubic and laparoscopic radical prostatectomy, results from a prospective randomized, single surgeon study. Eur Urol 2006; 50: 98- 104.

  4. Mottrie A, Van Migem P, De Naeyer G, Schatteman P, Carpentier P, Fonteyne P. Robot-assisted laparoscopic radical prostatectomy: Oncologic and functional results of 184 cases. Eur Urol 2007; 52: 746-51.

  5. Ois RF, Galiano M, Cathelineau X, Barret E, Cathala E, Vallancien G. Extraperitoneal laparoscopic radical prostatectomy: A prospective evaluation of 600 cases. J Urol 2005; 174: 908-11.

  6. Remzi M, Klingler HC, Tinzl MV, Fong YK, Lodde M, Kiss B, Marberger M. Morbility of laparoscopic extraperitoneal versus transperitoneal radical prostatectomy versus open retropubic radical prostatectomy. Eur Urol 2005; 48: 83-9.

  7. Poulakis V, Dillenburg W, Moeckel M, De Vries R, Witzsch U, Zumbe J, Rassweiler J, et al. Laparoscopic radical prostatectomy: prospective evaluation of the learning curve. Eur Urol 2005; 47: 167-75.

  8. Erdogru T, Teber D, Frede T, Marrero R, Hammady A, Seemann O, Rassweiler J. Comparison of transperitoneal and extraperitoneal laparoscopic radical prostatectomy using match-pair analysis. Eur Urol 2004; 46: 312-20.

  9. Salomon L, Levrel O, De la Taille O, Anastasiadis A, Saint F, Vordos D, Abbou, et al. Radical prostatectomy by the retropubic, perineal and laparoscopic approach: 12 years of experience in one center. Eur Urol 2002; 42: 104-11.

  10. 10.Frede T, Erdogru T, Zukosky K, Gulkesen H, Teber D, Rassweiller J. Comparison of training modalities for performing laparoscopic radical prostatectomy: Experience with 1000 patients. J Urol 2005; 174: 673-8.

  11. 11.Casillo O, Cabello R, Cortes O, Pinto I, Arellano L, Russo L, Prostatectomía radical laparoscópica extraperitoneal. Rev Chil Cir 2006; 58(1): 40-4.




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