Nerve-sparing laparoscopic radical prostatectomy at Siriraj Hospital.
Article
Dans Anglais
| IMSEAR
| ID: sea-45172
ABSTRACT
BACKGROUND:
Quality of life after laparoscopic radical prostatectomy has been a discussed issue among patients. Nerve-sparing radical prostatectomy has been shown to be superior to non-nerve-sparing radical prostatectomy in terms of potency and continence. The authors have reported their experience of laparoscopic radical prostatectomy and now developed our technique of nerve-sparing laparoscopic radical prostatectomy.OBJECTIVE:
To evaluate the feasibility of nerve-sparing laparoscopic radical prostatectomy done at our institute. MATERIAL ANDMETHOD:
From December 2005 to August 2006, 28 patients with localized prostate cancer underwent a nerve-sparing laparoscopic radical prostatectomy. Perioperative data was compared to those 34 patients who underwent non-nerve-sparing laparoscopic radical prostatectomy during the same period. All patients had PSA of less than 10 and pre-operative Gleason Score of 7 or less. Quality of life including incontinence and impotency rates was analyzed during three months post-operation.RESULTS:
Patients' dermographic data, except ages, was similar in the two groups. Operating time was not different (217 vs. 212 minutes in favor of nerve-sparing). Blood loss was significantly high in nerve-sparing laparoscopic radical prostatectomy (814 mls vs. 543 mls, p = 0.01). Tumor control was not different within both groups. Three months after surgery incontinent rates of both groups were not different. 43.75% of patients with nerve-sparing technique had experienced erection at three months after surgery.CONCLUSION:
The authors' early experience has shown that nerve-sparing laparoscopic radical prostatectomy does not compromise cancer control, although blood loss is higher. This operation should be encouraged in cancer-localized patients as the patients may gain benefit of better quality of life.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Complications postopératoires
/
Prostate
/
Prostatectomie
/
Tumeurs de la prostate
/
Comportement sexuel
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Thaïlande
/
Sujet âgé
/
Humains
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Mâle
/
Études de faisabilité
Pays comme sujet:
Asie
langue:
Anglais
Année:
2007
Type:
Article
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