Long-term functional and oncological results after retroperitoneal laparoscopic prostatectomy according to a prospective evaluation of 550 patients

The objective of the study was to evaluate the long-term results of retroperitoneal laparoscopic radical prostatectomy (LRP). From 2001 to 2005, 550 consecutive patients underwent a laparoscopic extraperitoneal prostatectomy in our department. Continence and erectile function were analysed prospecti...

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Bibliographic Details
Published in:World journal of urology 2006-08, Vol.24 (3), p.281-288
Main Authors: GOEMAN, L, SALOMON, L, LA DE TAILLE, A, VORDOS, D, HOZNEK, A, YIOU, R, ABBOU, C. C
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cancer surgery
Diurnal
Erectile Dysfunction - diagnosis
Gynecology. Andrology. Obstetrics
Humans
Laparoscopy
Laparoscopy - methods
Male
Male genital diseases
Medical sciences
Middle Aged
Neoplasm Staging
Nephrology. Urinary tract diseases
Postoperative Complications - diagnosis
Prospective Studies
Prostate cancer
Prostatectomy
Prostatectomy - methods
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
Quality of Life
Treatment Outcome
Tumors
Tumors of the urinary system
Urinary Incontinence - diagnosis
Urinary tract. Prostate gland
Urological surgery
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Summary:The objective of the study was to evaluate the long-term results of retroperitoneal laparoscopic radical prostatectomy (LRP). From 2001 to 2005, 550 consecutive patients underwent a laparoscopic extraperitoneal prostatectomy in our department. Continence and erectile function were analysed prospectively by a self-administrated questionnaire. Mean operating time was 188 min, mean bladder catheterisation time 5.9 days, mean hospital stay 4.6 days Pathological stage was pT2 in 55.8%, pT3a in 29.6%, pT3b in 9.1% and pT4a in 5.4% tumours. Positive surgical margins were 17.9% for pT2, 44.8% for pT3 tumours and 71.4% for pT4a tumours. Five years survival without biochemical progression was 78.8%. After 24 months of follow-up, diurnal continence rate was 91%, and potency rate was 64% when both neurovascular bundles were preserved, 78.6% when the patients were younger than 60 years. LRP is now a standardised procedure. An extraperitoneal approach combines the advantages of a laparoscopic procedure with those of an extraperitoneal approach.
ISSN:0724-4983
1433-8726
DOI:10.1007/s00345-006-0054-6