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Comparative analysis between open transvesical and laparoscopic adenomectomy in the treatment of benigne prostatic hyperplasia in a tertiary hospital in Curitiba-PR: a retrospective study.
Sfredo, Luciano Ricardo; Oliveira, Isabella Correa DE; Novakoski, Guilherme Kyuzaemon Osako; Digner, Ingridy DE Souza; Silva, Ivam Vargas Martins DA; Lacerda, Daniel Augusto Mauad; Campos, Bruno Cesar Molina Maltauro; Santos, Luiz Sérgio.
Afiliação
  • Sfredo LR; - Universidade Federal do Paraná, Departamento de Urologia - Curitiba - PR - Brasil.
  • Oliveira IC; - Universidade Federal do Paraná, Departamento de Cirurgia Geral - Curitiba - PR - Brasil.
  • Novakoski GKO; - Universidade Federal do Paraná, Departamento de Medicina - Curitiba - PR - Brasil.
  • Digner IS; - Faculdades Pequeno Príncipe, Departamento de Medicina - Curitiba - PR - Brasil.
  • Silva IVMD; - Universidade Federal do Paraná, Departamento de Urologia - Curitiba - PR - Brasil.
  • Lacerda DAM; - Universidade Federal do Paraná, Departamento de Urologia - Curitiba - PR - Brasil.
  • Campos BCMM; - Universidade Federal do Paraná, Departamento de Urologia - Curitiba - PR - Brasil.
  • Santos LS; - Universidade Federal do Paraná, Departamento de Urologia - Curitiba - PR - Brasil.
Rev Col Bras Cir ; 50: e20233450, 2023.
Article em En, Pt | MEDLINE | ID: mdl-37075466
OBJECTIVE: the aim of this study was to compare the results of open and videolaparoscopic transvesical prostatectomy techniques in the treatment of benign prostatic hyperplasia (BPH) in a tertiary hospital. METHODS: we reviewed medical records of patients who underwent transvesical adenectomy due to BPH between March 2019 and March 2021 at the urology service of Hospital de Clínicas do Paraná (HCPR), 42 patients were included in the open transvesical prostatectomy group and 22 in the videolaparoscopic group. Then, a comparison was made between the techniques in terms of surgical time, bleeding, length of stay, need for intensive care, among others, in addition to postoperative outcome. RESULTS: the mean surgical time was shorter in the open technique compared to the laparoscopic technique (141 min vs 274 min). The videolaparoscopic group had a shorter mean hospital stay (3.5 days vs 6.36 days). There was no statistical significance in the comparison regarding the need for an intensive care unit, as well as in the assessment of postoperative bleeding. CONCLUSION: comparatively, the techniques demonstrated a similar outcome, with a low rate of complications and satisfactory results for the treatment of BPH. The laparoscopic technique is a surgery with a shorter hospital stay, but at the expense of a longer surgical time.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hiperplasia Prostática / Laparoscopia Tipo de estudo: Observational_studies Limite: Humans / Male Idioma: En / Pt Revista: Rev Col Bras Cir Ano de publicação: 2023 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hiperplasia Prostática / Laparoscopia Tipo de estudo: Observational_studies Limite: Humans / Male Idioma: En / Pt Revista: Rev Col Bras Cir Ano de publicação: 2023 Tipo de documento: Article País de publicação: Brasil