Laparoscopic Radical Prostatectomy: Perioperative Complications in an Initial and Consecutive Series of 80 Cases

Gregori, Andrea; Simonato, Alchiede; Lissiani, A.; Bozzola, A.; Galli, Stefano; Gaboardi, Franco

doi:10.1016/s0302-2838(03)00261-6

Cited by 40 publications

(24 citation statements)

References 16 publications

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“…LRP has been developed to reduce complications and duration of the patient's hospitalization and is emerging as an accepted treatment modality at many worldwide centers (Gregori et al 2003). It has been regarded as a good choice for localized prostate cancer in China (Pu et al 2007).…”

Section: Discussionmentioning

confidence: 99%

Modified apical dissection of the prostate improves early continence in laparoscopic radical prostatectomy: technique and initial results

Gao

Wang

et al. 2009

J Cancer Res Clin Oncol

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Section: Discussionmentioning

confidence: 99%

Modified apical dissection of the prostate improves early continence in laparoscopic radical prostatectomy: technique and initial results

Gao

Wang

et al. 2009

J Cancer Res Clin Oncol

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“…Laparoscopic radical prostatectomy has been developed to reduce complications and patient's hospitalization and is emerging as an accepted treatment modality at many worldwide centers (Gregori et al 2003). It has been regarded as a good choice for localized prostate cancer in China.…”

Section: Discussionmentioning

confidence: 99%

“…However, after 450 patients observed, this group did not see any signiWcant diVerence in surgical dissection (Meyer et al 1999). Gregori et al (2003) retrospectively evaluated the intraoperative and early postoperative complications of the initial experience with the Wrst 80 LRP performed. Mean operative time was 218 min, mean blood loss was 376 ml, the mean postoperative hospital stay was 4.5 days and the mean duration of bladder catheterization was 11 days.…”

Section: Discussionmentioning

confidence: 99%

Comparative study of the impact of 3- versus 8-month neoadjuvant hormonal therapy on outcome of laparoscopic radical prostatectomy

Wang

et al. 2007

J Cancer Res Clin Oncol

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“…Finally, urinary tract infection occurs in 1.4% -2.8% in all cases of LRP, despite of antibiotic prophylaxis (2,24). Generally, these infections are caused by prolonged indwelling catheter use and/or inappropriate antibiotic prescription.…”

Section: Commentsmentioning

confidence: 99%

Transperitoneal versus extraperitoneal laparoscopic radical prostatectomy during the learning curve: does the surgical approach affect the complication rate?

et al. 2010

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Purpose: To compare the perioperative complication rate obtained with the transperitoneal laparoscopic radical prostatectomy (TLRP) and with the extraperitoneal LRP (ELRP) during the learning curve (LC). Materials and Methods: Data of the initial 40 TLRP (Group 1) were retrospectively compared with the initial 40 ELRP (Group 2). Each Group of patients was operated by two different surgeons. Results: The overall surgical time (175 min x 267.6 min; p < 0.001) and estimated blood loss (177.5 mL x 292.4 mL; p < 0.001) were statistically better in the Group 1. Two intraoperative complications were observed in Group 1 (5%) represented by one case of bleeding and one case of rectal injury, whereas four complications (10%) were observed in Group 2, represented by two cases of bleeding, one bladder and one rectal injuries (p = 0.675). Open conversion occurred once in each Group (2.5%). Overall postoperative complications were similar (52.5% x 35%; p = 0.365). Major early postoperative complications occurred in three and in one case in Group 1 and 2, respectively. Group 1 had two peritonitis (fecal and urinary), leading to one death in this group. Conclusions: No statistical differences in overall complication rates were observed. The transperitoneal approach presented more serious complications during the early postoperative time and this fact is attributed to the potential chance of intraperitoneal peritonitis not observed with the extraperitoneal route.Key words: prostate�� prostatic neoplasms�� prostatectomy�� laparoscopy prostate�� prostatic neoplasms�� prostatectomy�� laparoscopy Int Braz J Urol. 2010; 36: 450-7

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Laparoscopic Radical Prostatectomy: Perioperative Complications in an Initial and Consecutive Series of 80 Cases

Cited by 40 publications

References 16 publications

Modified apical dissection of the prostate improves early continence in laparoscopic radical prostatectomy: technique and initial results

Modified apical dissection of the prostate improves early continence in laparoscopic radical prostatectomy: technique and initial results

Comparative study of the impact of 3- versus 8-month neoadjuvant hormonal therapy on outcome of laparoscopic radical prostatectomy

Transperitoneal versus extraperitoneal laparoscopic radical prostatectomy during the learning curve: does the surgical approach affect the complication rate?

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