Clinical experience of 52 patients undergoing laparoscopic radical prostatectomy

Keiichi Ito, Hidehiko Yoshii, Akira Miyajima, Taiki Kanbara, Yujiro Tsujita, Kenji Kuroda, Akinori Sato, Junichi Asakuma, Akio Horiguchi, Takeshi Seguchi, Makoto Sumitomo, Masamichi Hayakawa, Tomohiko Asano

Research output: Contribution to journalArticle

Abstract

Perioperative results and oncological and functional results were evaluated for 52 patients who underwent laparoscopic radical prostatectomy (LRP). Median operative time was 341 minutes and median blood loss was 828 ml. The intraoperative complications were hemorrhage exceeding 3,000 ml (five cases), ureteral injury (two cases), and rectal injury (one case). The median day of catheter removal was postoperative day 7. Postoperative complications were temporal arrhythmia, mild hydronephrosis, port site hernia, urethral stricture, and a giant lymphoccle. When surgical results were compared between the firsthalf cases and second-half cases who were operated on by a single surgeon, median operative time and intraoperative hemorrhage did not differ significantly between the two halves but the day of catheter removal after LRP was significantly earlier for the second-half group. The pathological stage was pT3 in 41.2% of the patients and the negative surgical margin rate was 62.7%. The 3-year PSA-failure-free survival rate was 64.1%. Pad-free status (0-1 pad/day) was achieved in 84.4% of the patients. Erectile function was preserved in 58.3% of patients undergoing nerve-sparing LRP. Although the complication rate and the quality of operative procedures gradually improved, efforts to improve the oncological and functional outcomes of LRP must continue.

Original languageEnglish
Pages (from-to)227-236
Number of pages10
JournalActa Urologica Japonica
Volume57
Issue number5
Publication statusPublished - 2011 May 1

Keywords

  • Laparoscopic radical prostatectomy
  • Prostate cancer
  • Surgical result

ASJC Scopus subject areas

  • Urology

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  • Cite this

    Ito, K., Yoshii, H., Miyajima, A., Kanbara, T., Tsujita, Y., Kuroda, K., Sato, A., Asakuma, J., Horiguchi, A., Seguchi, T., Sumitomo, M., Hayakawa, M., & Asano, T. (2011). Clinical experience of 52 patients undergoing laparoscopic radical prostatectomy. Acta Urologica Japonica, 57(5), 227-236.