Clinical outcomes after laparoscopic radical prostatectomy

作者：Yuan Gao, Bangmin Han, Wei Zhao, Yuan Ruan, Qi Jiang, Fujun Zhao, Xiao-Wen Sun, Qingsong Zou, Chenyi Jiang, Kui‐Yuan Hao, S.H. Mao · 发表于：Zhonghua miniao waike zazhi · 年份：2015 · DOI：10.3760/cma.j.issn.1000-6702.2015.08.012 · 研究领域：Prostate Cancer Diagnosis and Treatment

Objective To discuss the postoperative outcomes of prostate cancer patients after laparoscopic radical prostatectomy (LRP). Methods There were 176 patients who underwent LRP in our center and had a follow–up more than 1 year from April 2011 to April 2014. The clinical data was retrospectively analyzed. The mean age was 67 years (57 to 81 years). The mean preoperative PSA was 8.6 μg/L (2.2 to 29.3 μg/L). Results The mean operation time was 127 min, and mean blood loss was 120 ml. Nineteen patients had a positive surgical margin, and 3 patients had positive lymph nodes. There were 17 complications (9.7%) of Clavien Ⅰ, 6 (3.4%) of Clavien Ⅱ, 4 (2.3%) of Clavien Ⅲ and none of Clavien Ⅳ or Ⅴ. One patient got biochemical recurrence after 6 months and 3 after 12 months. Complete urinary incontinence after 1, 3, 6, 12 months was 8(4.5%), 5(2.8%), 2(1.1%) and 2(1.1%) cases. Of the 19 nerve–sparing patients, satisfactory erectile function was gained in 3, 5, 5 and 6 cases at 1, 3, 6, 12 months postoperatively. Conclusions LRP could be a safe and effective treatment for localized prostate cancer. It is good at the control of complications, urinary continence and erectile function. It is also satisfactory in tumor control. Key words: Prostatic neoplasms; Radical prostatectomy; Laparoscopes; Treatment outcome