ANATOMY - SPARING LAPAROSCOPIC RADICAL PROSTATECTOMY… IS IT POSSIBLE?-Reference-Cited by-同舟云学术

ANATOMY - SPARING LAPAROSCOPIC RADICAL PROSTATECTOMY… IS IT POSSIBLE?

Published:2020-09-10 Issue:2 Volume: Page:23-34
ISSN:2223-2427
Container-title:Surgical practice
language:
Short-container-title:jour

Author:

Novikov A. B.¹,Galliamov E. A.²,Kochkin A. D.³,Biktimirov R. G.⁴,Sergeev V. P.⁵,Popov S. V.⁶,Orlov I. N.⁶,Presnov K. S.¹,Meshankin I. V.⁷,Sanzharov A. E.⁸,Komarov M. I.⁹,Bolgov E. N.¹⁰,Volnykh I. U.¹¹,Agapov M. A.¹²,Biktimirov T. R.⁴,Volodin D. I.⁵,Galliamov E. E.⁵

Affiliation:

1. Multidisciplinary medical center of the Bank of Russia

2. Sechenov Univercity

3. Russians Railways Hospital

4. FCC for HMT of FMBA of Russia

5. A. Burnazyan`s SRC FMBC of FMBA of Russia

6. St. Luke`s Clinical Hospital

7. Clinical Hospital №1 Medsi

8. FSCC of FMBA of Russia

9. N. Blokhin`s National Medical Research Center for Oncology

10. Stavropol Regional Clinical Consultative and Diagnostic Center

11. Urological and SWL center of Russians Railways Hospital

12. Lomonosov Moscow State University

Abstract

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.

Publisher

Center of Endourology Endocenter

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