Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 1 de 1
Filter
Add more filters











Database
Language
Publication year range
1.
Int Braz J Urol ; 42(2): 223-33, 2016.
Article in English | MEDLINE | ID: mdl-27256175

ABSTRACT

BACKGROUND AND OBJECTIVE: To prospectively compare the laparoscopic versus open approach to RP in cases with high prostate volume and to evaluate a possible diferente impact of prostate volume. MATERIALS AND METHODS: From March 2007 to March 2013 a total of 120 cases with clinically localized prostate cancer (PC) and a prostate volume>70cc identified for radical prostatectomy (RP), were prospectively analyzed in our institute. Patients were offered as surgical technique either an open retropubic or an intraperitoneal laparoscopic (LP) approach. In our population, 54 cases were submitted to LP and 66 to open RP. We analyzed the association of the surgical technique with perioperative, oncological and postoperative functional parameters. RESULTS: In those high prostate volume cases, the surgical technique (laparoscopic versus open) does not represent a significant independent factor able to influence positive surgical margins rates and characteristics (p=0.4974). No significant differences (p>0.05) in the overall rates of positive margins was found, and also no differences following stratification according to the pathological stage and nerve sparing (NS) procedure. The surgical technique was able to significantly and independently influence the hospital stay, time of operation and blood loss (p<0.001). On the contrary, in our population, the surgical technique was not a significant factor influencing all pathological and 1-year oncological or functional outcomes (p>0.05). CONCLUSIONS: In our prospective non randomized analysis on high prostate volumes, the laparoscopic approach to RP is able to guarantee the same oncological and functional results of an open approach, maintaining the advantages in terms of perioperative outcomes.


Subject(s)
Laparoscopy/methods , Prostate/pathology , Prostatectomy/methods , Prostatic Neoplasms/pathology , Prostatic Neoplasms/surgery , Aged , Biopsy , Humans , Intraoperative Complications , Linear Models , Magnetic Resonance Imaging , Male , Middle Aged , Multivariate Analysis , Neoplasm Grading , Neoplasm Staging , Operative Time , Organ Size , Postoperative Complications , Prospective Studies , Prostate/surgery , Reproducibility of Results , Risk Assessment , Time Factors , Treatment Outcome , Urinary Incontinence/prevention & control , Urinary Incontinence/rehabilitation
SELECTION OF CITATIONS
SEARCH DETAIL