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Paper Information

Title: 

LAPAROSCOPIC RADICAL PROSTATECTOMY FIRS REPORT N IRAN

Type: PAPER
Author(s): SIMFOROOSH N.*,TABIBI A,SHADPOUR P.,SAFI H.,MAGHSOUDI R.
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PURPOSE: TO EVALUATE THE ROLE OF RADICAL PROSTATECTOMY IN MANAGEMENT OPATIENTS WITH LOCALIZED PROSTATE CANER.
METHODS & MATERIALS: 19 PATIENTS WITH CLINICALLY LOCALIZED PROSTATE CANCER UNDERWENT LAPAROSCOPIC RADICAL PROSTATECTOMY (LRP) AND WERE EVALUATED PROSPECTIVELY. 5 TROCARS WERE USED (TWO 1 CM AND THREE 5 MM). FIRST SEMINAL VESICLES WERE DISSECTED AS DESCRIBED BY KAVOUSSI. THAN BLADDER NECK WAS SEPARATED FROM PROSTATE. LATERAL PEDIELES WERE DIVIDED BETWEEN TITANIUM CLIPS. THEN APEX OF PROSTATE WAS DIVIDED FROM URETHRA. BLADDER NECK WAS REPAIRED AND CONNECTED TO URETHRA BY PLACING FOLEY BALLOON AND GENTLE TRACTION ON. SPECIMEN REMOVED INSIDE THE BAG FROM UMBILICUS. DRAIN WAS PLACED AND TROCAR SITES WERE CLOSED.
RESULTS: AVERAGE FOLLOW-UP WAS 5.6 MONTHS (2–14). AVERAGE OPERATIVE TIME WAS 300 MINUTES.3 PATIENTS RECEIVED TRANSFUSION. AVERAGE HOSPITALIZATION TIME WAS 4 DAYS AND AVERAGE CATHETERIZATION TIME WAS 7.2 DAY. ALL PATIENTS WERE CONTINENT OF URINE 3 MONTHS POSTOPERATIVELY, EXCEPT 2 PATIENTS RADIATED FOR STAGE T3-4 CANCER. THERE WERE 3 URETHRAL THRALL STRICTURES, 2 IN ABOVE PATIENTS AND ONE IN NON RADIATED PATIENT, ALL MANAGED WITH DILATATION AND URETHROROMY IN ONE WITH NO RECURRENCE. THERE WAS ONE CONVERSION (FIRST PATIENT FOR URETHRAL ANASTOMOSIS AND ONE URINE LEAK CONTROLLED SURGICALLY. POSTOPERATIVE PSA LEVEL WAS < 0.5 AND STABLE IN ALL PATIENTS DURING FOLLOW- UP PERIOD.
CONCLUSIONS: LAPAROSCOPIC RADICAL PROSTATECTOMY IS AN ADVANCED PROCEDURE. WITH BETTER VISION AND EXPOSURE, OPERATION CAN BE DONE ACCURATELY AND BLOOD TRANSFUSION IS USED LESS, ACCORDING TO REPORTED PAPERS. POST OPERATIVE PAIN IS LESS AND HOSPITALIZATION TIME CAN BE SHORT. WE AS MANY MAJOR MEDICAL CENTERS RECOMMEND (LRP) AS A MINIMALLY INVASIVE PROCEDURE FOR TREATING LOCALIZED PROSTATE CANCER.

 
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