'LESS' radical prostatectomy: a pilot feasibility study with a personal original technique

BJU International
Franco GaboardiFrancesco Scieri

Abstract

We evaluated the feasibility and the potential advantages of a modification of the single-port laparoscopic radical prostatectomy using a periumbilical multichannel port plus a second port placed in the left fossa with the aim of having an adequate working angle during the most critical steps of the procedure. Between March and September 2009 we operated on five patients with early-stage prostate cancer (T1c) and a normal body mass index (<25). The procedure was carried out with a specially-designed multichannel trocar which contains two 5 mm and one 10 mm ports plus a 5 mm port placed in the left iliac fossa in order to have an adequate working angle. The first two patients received a nerve sparing radical prostatectomy. All cases were completed successfully in a mean operative time of 225 minutes (range 210-250) with blood losses of less than 100 ml. All patients were discharged from the hospital in 3rd postoperative day and the catheter was always removed seven days from surgery. No intraoperative complications occurred. The pathological tumour stage revealed pT2bNo prostate cancer in all five cases without positive surgical margins. After a mean follow-up of 4 months (range 1-7) all patients have an undetectable prostate-sp...Continue Reading

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Citations

Sep 22, 2012·Der Urologe. Ausg. A·C SchwentnerG Gakis
Feb 18, 2011·World Journal of Urology·Peter McCulloch
Oct 22, 2011·World Journal of Urology·Evangelos LiatsikosJens-Uwe Stolzenburg
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Apr 14, 2016·Journal of Robotic Surgery·Oscar Darío MartínRené Sotelo

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