Onkologische und funktionelle Ergebnisse der offenen intrafaszialen radikalen Prostatektomie

Khoder, Wael; Büchner, Alexander; Siegert, S.; Stief, Christian G.; Schlenker, Boris

doi:10.1007/s00120-011-2635-2

Cited by 1 publication

(2 citation statements)

References 24 publications

(21 reference statements)

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“…Until now, the intrafascial nerve-sparing technique has been a technique of very advanced surgeons. 9,10,[17][18][19][20][21][22][23][24] In the intrafascial nerve-sparing ELRP, the dissection of the prostate was performed between the prostatic capsule and the prostatic fascia and left virtually no periprostatic tissue overlying the prostate. Theoretically, this approach may lead to a higher incidence of PSM due to a dissection that is closer to the prostate gland.…”

Section: Discussionmentioning

confidence: 99%

“…Potdevin et al 17 found that there was a high rate of PSM in patients with pT3 disease who underwent the intrafascial nerve-sparing technique during robotassisted laparoscopic radical prostatectomy. However, Shikanov et al 18 , Neill et al 19 and Khoder et al 20 reported that the bilateral interfascial nerve-sparing technique does not result in higher rates of PSM in low-risk patients.…”

Section: Discussionmentioning

confidence: 99%

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A matched-pair comparison between bilateral intrafascial and interfascial nerve-sparing techniques in extraperitoneal laparoscopic radical prostatectomy

Zheng¹,

Zhang²,

Ma³

et al. 2013

Asian J Androl

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The aim of this study was to validate the advantages of the intrafascial nerve-sparing technique compared with the interfascial nerve-sparing technique in extraperitoneal laparoscopic radical prostatectomy. From March 2010 to August 2011, 65 patients with localized prostate cancer (PCa) underwent bilateral intrafascial nerve-sparing extraperitoneal laparoscopic radical prostatectomy. These patients were matched in a 1:2 ratio to 130 patients with localized PCa who had undergone bilateral interfascial nerve-sparing extraperitoneal laparoscopic radical prostatectomy between January 2008 and August 2011. Operative data and oncological and functional results of both groups were compared. There was no difference in operative data, pathological stages and overall rates of positive surgical margins between the groups. There were 9 and 13 patients lost to follow-up in the intrafascial group and interfascial group, respectively. The intrafascial technique provided earlier recovery of continence at both 3 and 6 months than the interfascial technique. Equal results in terms of continence were found in both groups at 12 months. Better rates of potency at 6 months and 12 months were found in younger patients (age ≤ 65 years) and overall patients who had undergone the intrafascial nerve-sparing extraperitoneal laparoscopic radical prostatectomy. Biochemical progression-free survival rates 1 year postoperatively were similar in both groups. Using strict indications, compared with the interfascial nerve-sparing technique, the intrafascial technique provided similar operative outcomes and short-term oncological results, quicker recovery of continence and better potency. The intrafascial nerve-sparing technique is recommended as a preferred approach for young PCa patients who are clinical stages cT1 to cT2a and have normal preoperative potency.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A matched-pair comparison between bilateral intrafascial and interfascial nerve-sparing techniques in extraperitoneal laparoscopic radical prostatectomy

Zheng¹,

Zhang²,

Ma³

et al. 2013

Asian J Androl

View full text Add to dashboard Cite

show abstract

Onkologische und funktionelle Ergebnisse der offenen intrafaszialen radikalen Prostatektomie

Abstract: The goal of the study is to critically analyze both the functional and especially the oncological results, which should not be compromised by the nerve-sparing approach.

Cited by 1 publication

References 24 publications

A matched-pair comparison between bilateral intrafascial and interfascial nerve-sparing techniques in extraperitoneal laparoscopic radical prostatectomy

A matched-pair comparison between bilateral intrafascial and interfascial nerve-sparing techniques in extraperitoneal laparoscopic radical prostatectomy

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