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[Outcomes of Laparoscopic Radical Prostatectomies by a Single Surgeon Alternating Operating Position].
Hasegawa, Yasuhisa; Matsuzaki, Shinji; Murata, Daiki; Ueno, Takeshi; Miyamoto, Katsutoshi; Kuru, Yuko; Iwane, Kyosuke; Kanaoka, Ryuhei; Yanai, Hiroyuki; Mita, Koji; Mizutani, Masami.
Afiliación
  • Hasegawa Y; The Department of Urology, National Hospital Organization Fukuyama Medical Center.
  • Matsuzaki S; The Department of Urology, National Hospital Organization Fukuyama Medical Center.
  • Murata D; The Department of Urology, Hiroshima City Asa Hospital.
  • Ueno T; The Department of Urology, National Hospital Organization Fukuyama Medical Center.
  • Miyamoto K; The Department of Urology, Kobatake Hospital.
  • Kuru Y; The Department of Urology, Itabashi Chuo Medical Center.
  • Iwane K; The Department of Urology, National Hospital Organization Fukuyama Medical Center.
  • Kanaoka R; The Department of Urology, Takanobashi Central Hospital.
  • Yanai H; The Department of Pathology, Okayama University Hospital.
  • Mita K; The Department of Urology, Hiroshima City Asa Hospital.
  • Mizutani M; The Department of Urology, Sanyo Hospital.
Hinyokika Kiyo ; 66(8): 251-257, 2020 Aug.
Article en Ja | MEDLINE | ID: mdl-32882121
The clinical outcome of laparoscopic radical prostatectomy (LRP) was retrospectively investigated taking into consideration the surgeon's position during the procedure. The study cohort included 184 consecutive patients who had undergone LRP performed by a single surgeon from February 2013 to July 2018. During the study period,the surgeon stood alternately on either the left or right side of the patient. The D'Amico risk classification was low,intermediate and high in 26 (14.1%),45 (24.5%) and 113 (61.4%) patients,respectively. Mean surgical duration was 203.5 minutes and mean estimated blood loss was 437.6 ml. Nerve sparing (NS) was implemented in 82 (44. 6%) patients. The mean period of having an indwelling urethral catheter was 5. 0 days. Perioperative Clavien-Dindo degree ≥IIIa complications occurred in three (1.6%) patients. Except for cases with presurgical hormonal treatment,surgical margins were positive in 41 (22.3%) patients,among whom 23 (17.4%) had pT2 disease. The 5-year biochemical recurrence-free survival rate was 81.4%,and 84.8% of patients regained urinary continence at 12 months after surgery. Where the surgeon stood during LRP was not associated with significant differences in any parameter. However,the margin positive rate was higher on the side away from where the surgeon stood than the side closer to the surgeon (70.7% vs 29.3%). In conclusion,the position of the surgeon during LRP does not influence the outcome.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Próstata / Laparoscopía / Cirujanos Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans / Male Idioma: Ja Revista: Hinyokika Kiyo Año: 2020 Tipo del documento: Article Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Próstata / Laparoscopía / Cirujanos Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans / Male Idioma: Ja Revista: Hinyokika Kiyo Año: 2020 Tipo del documento: Article Pais de publicación: Japón