Open AccessANATOMY - SPARING LAPAROSCOPIC RADICAL PROSTATECTOMY… IS IT POSSIBLE?
Author(s) -
А В Новиков,
Э. А. Галлямов,
А Д Кочкин,
R.G. Biktimirov Biktimirov,
В. П. Сергеев,
С. В. Попов,
I N Orlov,
К С Преснов,
И. В. Мещанкин,
А. Е. Санжаров,
М. И. Комаров,
Evgeniy Nikolaevich Bolgov,
И. Ю. Вольных,
М. А. Агапов,
T.R. Biktimirov Biktimirov,
Д. И. Володин,
Э. Э. Галлямов
Publication year - 2020
Publication title -
hirurgičeskaâ praktika
Language(s) - English
Resource type - Journals
ISSN - 2223-2427
DOI - 10.38181/2223-2427-2020-2-23-35
Subject(s) - medicine , laparoscopic radical prostatectomy , prostatectomy , perioperative , urinary continence , laparoscopy , prostate cancer , surgery , urology , cancer
The fact is that nerve- and fascial-sparing robot-assisted technique improves functional results of radical prostatectomy.The aim of study: to evaluate feasibility and effectiveness of anatomy-sparing radical prostatectomy performed by conventional laparoscopy.Material and methods: A total of 4025 patients with prostate cancer who underwent conventional lap radical prostatectomy (LRP) between 2010 and 2020 were retrospectively reviewed. After that only cases of anatomy-sparing technique were enrolled. The perioperative parameters of these 714 men were analyzed. Continence was defined by “Pad-test” 1 or none.Results: There were no mortality, intra- and Clavien ≥ III postoperative complications i.q. conversions to open surgery. Average OR time & EBL – 155,3 min & 187,2 ml respectively. Mean time of bladder catheterization – 7,4 d. The frequency of positive surgical margins – 9,7%. Immediate and absolute continence has been reached in 38,2% of cases. In the other 42,3% of patients the “Pad-test” was not more than one. Thus 80,5% of our patients were satisfied with urination after surgery. Conclusions: conventional laparoscopic surgical technique described in this paper is not only feasible effective and safe but also achieve a better functional result.