Our Laparoscopic Radical Prostatectomy Experiences: Single Center Results

Abstract

Aim: The aim of the study is to evaluate the characteristics and oncological and functional outcomes of patients operated with laparoscopic radical prostatectomy surgery at Our ClinicPatients and Method: 23 radical prostatectomy cases performed entirely laparoscopically at Our Clinic between 2008 and 2011 were reviewed retrospectively. Preoperative characteristics, perioperative and postoperative complications of the patients their treatments, and biochemical recurrence rates were evaluated.Results: Postoperative prostatectomy pathologies of patients were 3 + 3 in 19 (82.6%) patients, 3 + 4 in 3 (13%) patients and 4 + 3 in 1 (4.3%) patient. The surgical margin was positive in 5 (21.7%) patients. According to TNM 2009 staging, the pathology of 4 (17,3%) patients were T2a, 13 (56,5%) patients were T2c, 5 (21,7%) patients were T3a, and 1 (4,3%) patient was T3b. Postoperative anastomosis leakage occurred in 2 (8.6%) patients and vesicorectal fistula occurred in 1 (4.3%) patient. In 15 (65.2%) patients erectile dysfunction (ED) developed postoperatively. 5 (21.7%) patients were re-operated due to anastomotic stricture. Biochemical recurrence was detected in 3 (13%) patients after postoperative 1 year (prostate specific antigen (PSA) value > 0.2ng/ml). Conclusion: The results of open retropubic radical prostatectomy (RRP) and laparoscopic radical prostatectomy (LRP) are similar in terms of oncologic and functional outcomes. However, because of the learning curve in LRP is long, in the first series operation period is longer than RRP. After completing the learning curve, LRP is a more advantageous surgical technique than RRP in terms of postoperative pain, needing for blood transfusion, and duration of hospital stay.

Keywords

• prostat kanseri
• laparoskopi
• radikal prostatektomi
• prostate cancer
• laparoscopy
• radical prostatectomy