Perioperative outcomes of open radical prostatectomy versus laparoscopic radical prostatectomy in Asian men: comparison of two initial series by the same surgeon

Leewansangtong, Sunai; Wiangsakunna, Wirat; Taweemankongsap, Tawatchai

doi:10.1590/s1677-55382009000200004

Cited by 6 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Meanwhile, LRP has been reported to have decreased blood loss and decreased need for blood transfusion, but also extends operative time. 99 Furthermore, robot-assisted LRP is a new option that has been widely used in America and many parts of Europe, though it is in its infancy in Asia. Until 2009, only eight regions had a robot system; in total there were 24 systems in Asian countries, namely in the mainland of China, South Korea, Japan, Taiwan (China), India, Thailand, Singapore and Malaysia.…”

Section: Prostate Cancer (Pca) Epidemiological Characteristicsmentioning

confidence: 99%

An overview of prostate diseases and their characteristics specific to Asian men

Xia¹,

Cui²,

Jiang³

2012

Asian J Androl

View full text Add to dashboard Cite

In this paper, we reviewed the features of common prostate diseases, such as benign prostatic hyperplasia (BPH), prostate cancer (PCa) and chronic prostatitis (CP) that are specific to Asian men. Compared to the Westerners, Asians exhibit particular characteristics of prostate diseases. Through summarizing the epidemiology, symptomatology, diagnostics and therapeutics of these diseases, we find that Asians have a lower incidence of PCa than whites, but the incidences of BPH and CP are similar. Asian men with CP often suffer from fewer disease sites, but have a higher frequency of pain during urination rather than after sexual climax. Prostate-specific antigen (PSA) is a widely used marker for the diagnosis of PCa in both Asian and Western countries. Although the PSA level may be lower in Asians, the threshold used is based on whites. After reviewing the treatments available for these diseases, we did not find a fundamental difference between Asians and whites. Furthermore, the selection for the most appropriate treatment based on the individual needs of patients remains a challenge to urologists in Asia. After considering the traits of prostate diseases that are specific to Asian men, we hope to pave the way for the development of specific diagnostic and therapeutic strategies targeted specifically to Asian men.

show abstract

Section: Prostate Cancer (Pca) Epidemiological Characteristicsmentioning

confidence: 99%

An overview of prostate diseases and their characteristics specific to Asian men

Xia¹,

Cui²,

Jiang³

2012

Asian J Androl

View full text Add to dashboard Cite

show abstract

“…It was concluded that the RARP provided a shorter catheter time (76,77). A routine cystography at Post-operative day 7 was not found to be necessary following an operation involving the extraperitoneal approach in either a laparoscopic radical prostatectomy or a robot-assisted radical prostatectomy (75).…”

Section: Prostate Cancermentioning

confidence: 99%

Urologic cancer in Thailand

Lojanapiwat

2015

Jpn. J. Clin. Oncol.

View full text Add to dashboard Cite

Cancer is a major health burden among non-communicable diseases, which has had a high impact on the healthcare system in Thailand. Based on GLOBOCAN, the prevalence of urologic cancer is increasing in Thailand. Prostate, bladder and kidney cancers are 6th, 15th and 22nd most common cancers, respectively, in both males and females. Prostate cancer is the fourth most common cancer in male. Cancer in the lower socioeconomic groups is a challenging problem due to greater exposure to the risk factors and more limited access to the healthcare service. The cancers are usually detected in advanced stages of the cancer. The most common histopathological finding of kidney cancer is a renal cell carcinoma. Transitional cell carcinoma is the most common histopathology of bladder. There is a trend of stage migration to earlier stages at first presentation, probably due to public awareness and laboratory screening. Patients with early stage are treated with minimally invasive modalities such as endoscopic, laparoscopic or robot-assisted laparoscopic surgery. Laparoscopic radical prostatectomy and robot-assisted laparoscopic radical prostatectomy is the mainstay treatment of localized prostate cancer with the better outcome and less complication. Androgen deprivation therapy is usually for elderly or unfit patients. The strategy for early detection of early cancer is the important role of Thai urologists to manage these three common urologic cancers.

show abstract

“…[1] Prostatectomy using Da Vinci robot has many advantages like less bleeding, less postoperative pain, shorter hospital stay, and quick recovery. [2,3] It also reduces complications including urinary incontinence and impotence. [4] However, RALRP needs prolonged pneumoperitoneum and steep Trendelenburg position over 30° for surgical exposure.…”

Section: Introductionmentioning

confidence: 99%

Effects of positive end-expiratory pressure on intraocular pressure and optic nerve sheath diameter in robot-assisted laparoscopic radical prostatectomy

You

Song²,

Kim³

et al. 2019

Medicine

View full text Add to dashboard Cite

Background: There has been no study of the effect of post end-expiratory pressure (PEEP) on intraocular or intracranial pressure during pneumoperitoneum with steep Trendelenburg positioning. We investigated the effects of 5 cmH 2 O of PEEP on intraocular pressure and optic nerve sheath diameter as a surrogate for intracranial pressure in robot-assisted laparoscopic radical prostatectomy. Methods: Fifty patients scheduled for robot-assisted laparoscopic radical prostatectomy were divided into a zero-PEEP (ZEEP) group and a 5 cmH 2 O of PEEP (PEEP) group. Intraocular pressure, optic nerve sheath diameter, and respiratory and hemodynamic parameters were measured before induction (T0), 10 minutes after induction of general anesthesia in the supine position before CO 2 insufflation (T1), 5 minutes (T2), and 30 minutes (T3) after steep Trendelenburg positioning with pneumoperitoneum, after desufflation of pneumoperitoneum in the supine position (T4), and after 30 minutes in the recovery room postoperatively (T5). Results: There was no significant difference in intraocular pressure or optic nerve sheath diameter between the groups during the study. The partial pressure of arterial oxygen and dynamic lung compliance at T1, T2, T3, and T4 were significantly higher in the PEEP than in the ZEEP group. There was no difference in mean arterial pressure or heart rate between groups at any time. Conclusion: Applying 5 cmH 2 O of PEEP did not increase intraocular pressure or optic nerve sheath diameter during pneumoperitoneum with steep Trendelenburg positioning in robot-assisted laparoscopic radical prostatectomy. These results suggest that low PEEP can be safely applied during surgery with pneumoperitoneum and steep Trendelenburg positioning in patients without preexisting eye disease and brain pathology.

show abstract

Perioperative outcomes of open radical prostatectomy versus laparoscopic radical prostatectomy in Asian men: comparison of two initial series by the same surgeon

Cited by 6 publications

References 12 publications

An overview of prostate diseases and their characteristics specific to Asian men

An overview of prostate diseases and their characteristics specific to Asian men

Urologic cancer in Thailand

Effects of positive end-expiratory pressure on intraocular pressure and optic nerve sheath diameter in robot-assisted laparoscopic radical prostatectomy

Contact Info

Product

Resources

About