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

World Journal of Urology
L GoemanClement-Claude Abbou

Abstract

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.

References

May 1, 1997·The Journal of Urology·O DillioglugilP T Scardino
Jan 14, 1998·Urology·W W SchuesslerL R Kavoussi
Nov 17, 1998·The Journal of Urology·P C Walsh
Jan 27, 2000·The Journal of Urology·B Guillonneau, G Vallancien
Jul 4, 2001·The Journal of Urology·L SalomonC C Abbou
Aug 31, 2001·European Urology·A HoznekC C Abbou
Aug 31, 2001·European Urology·R BollensC C Schulman
Oct 10, 2001·The Urologic Clinics of North America·K V Carlson, V W Nitti
Oct 10, 2001·The Urologic Clinics of North America·A R McCullough
Dec 18, 2001·The Journal of Urology·Bertrand GuillonneauGuy Vallancien
Apr 3, 2003·Urology·Roland F Van VelthovenRalph V Clayman
May 29, 2003·The Journal of Urology·Jens-Uwe StolzenburgWolfgang Dorschner
Dec 4, 2003·Journal of Endourology·Mani MenonAshutosh Tewari
Oct 14, 2004·Clinical Prostate Cancer·Muammer Kendirci, Wayne J G Hellstrom
Nov 13, 2004·The Journal of Urology·Thomas K Slabaugh, Fray F Marshall
Apr 9, 2005·Current Opinion in Urology·András HoznekClément-Claude Abbou
May 17, 2005·BJU International·Andreas LunacekHannes Strasser
Jul 12, 2005·The Journal of Urology·Fernando P SecinBertrand Guillonneau
Aug 12, 2005·The Journal of Urology·François RozetGuy Vallancien
Sep 8, 2005·The Journal of Urology·Jens-Uwe StolzenburgMichael C Truss

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Citations

Apr 25, 2012·Der Urologe. Ausg. A·H M DoJ-U Stolzenburg
Nov 29, 2007·Journal of Endourology·Judd BoczkoJean V Joseph
Dec 17, 2009·American Journal of Clinical Oncology·William M MendenhallNancy P Mendenhall
Jul 30, 2009·Annals of Surgery·Steven M StrasbergWilliam G Hawkins
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Dec 4, 2012·Therapeutic Advances in Urology·Manuela TutoloFrancesco Montorsi
Oct 27, 2007·Asian Journal of Surgery·Sittiporn Srinualnad, Suthipol Udompunturak
Oct 30, 2012·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·A ErausoG Fournier
Nov 20, 2012·Surgical Oncology Clinics of North America·Gurdarshan S SandhuGerald L Andriole
Mar 31, 2010·International Journal of Radiation Oncology, Biology, Physics·Juanita CrookGreg Pond
Mar 12, 2010·Urologic Oncology·Alon Z WeizerDavid P Wood
Apr 13, 2010·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·O SimoninG Karsenty
Oct 6, 2009·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·P-N GosseineL Cormier
Sep 2, 2008·The Urologic Clinics of North America·Mark L GonzalgoVipul R Patel
Nov 13, 2007·The Journal of Urology·Juanita CrookGreg Pond
Feb 21, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Masatoshi TanakaUNKNOWN Urological Laparoscopic Surgery Guideline Committee, Japanese Society of Endourology and ESWL
Oct 9, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Akio HoshiToshiro Terachi
Jul 5, 2012·BJU International·Marcel HruzaJens Jochen Rassweiler
Jul 25, 2009·BJU International·John P MulhallAlexander Müller
Nov 5, 2015·Journal of Robotic Surgery·S S Goonewardene, D Cahill
May 5, 2009·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Sunai LeewansangtongTawatchai Taweemankongsap
Feb 8, 2007·Current Opinion in Urology·Adam W Levinson, Li-Ming Su
Jul 7, 2007·Cancer Control : Journal of the Moffitt Cancer Center·Julio M Pow-SangLoveleen C Kang
Dec 25, 2007·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·Michel SouliéArnauld Villers

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