Resumo

ESTEBANEZ ZARRANZ, J. et al. Laparoscopic radical prostatectomy: Preliminar experience. Actas Urol Esp [online]. 2003, vol.27, n.5, pp.370-378. ISSN 0210-4806.

OBJETIVE: Laparoscopic technique has been developped with the aim to decrese the morbidity of the open radical prostatectomy. MATERIAL AND METHODS: From january 2002 to may 2002, 8 patients were treated for prostate cancer with laparoscopic radical prostatectomy. Unilateral linfadenectomy has been carried out in oly one patient. We usually employ the transperitoneal technique published by the Montsouris Institute, with some modifications. RESULTS: The main surgical time was 356 minuts (540-240). Transfusion wasn't needed in any case. Intraoperative complications were: 2 bladder injuries, 1 bleeding of the epigastric artery. Postoperative complications were: 1 ileus, 2 compressive neurapraxia, 4 anastomotic fistutas. All complications were treated conservatively. No patient were converted to open surgery. Surgical limits were negatifs in all cases, and the PSA rate was less than 0.1 ng/ml in the first month follow up. CONCLUSION: Laparoscopic radical prostatectomy is a dificult technique, but we think that, the learning curve is getting lower and lower than in the first series. Oncologic results with this technique is similar to the open one. However, laparoscopic approach shows us some benefits such as less bleeding, less time catheterisation, less hospital stay, better continence, better sexual fonction, better stetic result, less postoperative pain, and finally an earlier back to work.

Palavras-chave : Prostate cancer; Radical prostatectomy; Laparoscopy.

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