Extraperitoneal laparoscopic radical prostatectomy.

N-H Song, H-F Wu, W Zhang, L-X Hua, L-X Qian, G-W Xia, N-H Feng, J Yang, J-T Su
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引用次数: 20

Abstract

A total of 28 patients with clinically localized prostate cancer (PCa) underwent extraperitoneal laparoscopic radical prostatectomy (EP-LRP). The mean operative duration was 309 (287-600) minutes. Estimated blood loss ranged from 380 to 1000 (mean 480) ml. At 3 to 5 days postoperatively, the catheter was removed. No open conversion was required and no patient presented postoperative complications. PSA level was less than 0.1 ng/ml at 3 months after surgery in all patients. At a mean follow-up of 10 (6-16) months, there were no biochemical failures. The extraperitoneal technique potentially decreased the risk of intra-abdominal complications and better approximated than open retropubic radical prostatectomy. In conclusion, EP-LRP is an effective, safe and precise technique.

腹腔外腹腔镜根治性前列腺切除术。
28例临床局限性前列腺癌(PCa)患者行腹腔外腹腔镜根治性前列腺切除术(EP-LRP)。平均手术时间为309(287-600)分钟。估计失血量为380至1000毫升(平均480)毫升。术后3至5天,拔除导管。无开腹转换,无术后并发症。所有患者术后3个月PSA水平均低于0.1 ng/ml。平均随访10(6-16)个月,无生化失败。腹膜外技术潜在地降低了腹内并发症的风险,并且比开放式耻骨后根治性前列腺切除术更接近。综上所述,EP-LRP是一种有效、安全、精确的方法。
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