PRELIMINARY REPORT: LAPAROSCOPIC RADICAL PROSTATECTOMY IN JAKARTA
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Abstract
Objective: To report initial experience of laparoscopic radical prostatectomy (LRP) in Jakarta and evaluate the functional and oncology outcome. Material & Method: Between June 2007 until September 2008, we had done 9 times LRP surgery. All data is retrospectively taken and divided in three groups, i.e. pre-operative data (patient demography, pre-operative PSA, prostate volume, Gleason Score, clinical and functional staging), intra-operative data (intra-operative complication, conversion to open surgery, bleeding volume, and operating time), and post-operative data (post-operative complication, duration of urine catheter usage, duration of hospitalization, functional and oncology status). Results: Among nine subjects who underwent LRP, five subjects (55,55%) did not converted into open surgery. There are 2 subjects who gain their sexual potency and urine continence in one year post op. Only one subject is proven without biochemical failure in 1 year. Conclusion: We confirmed that radical prostatectomy can be performed with transperitoneal laparoscopic technique by a team that has been experienced in laparoscopic. Keywords: Laparoscopic radical prostatectomy, functional result, oncological result.
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Heidenreich A. EAU guidelines on prostate cancer; 2009.
Huland H. Treatment of localized disease: Treatment of clinically localized prostate cancer (T1/T2). In: Murphy G, Denis L, Chatelain C, Griffiths K, Khoury S, Cockett AT (ed). Proceedings of the First International Consultation on Prostate Cancer: Scientific Communication International. Jersey: Channel Islands; 1997. p. 227-57.
Young HH. The early diagnosis and radical cure of carcinoma of the prostate: Being a study of 40 cases and presentations of a radical operation which was carried out in 4 cases. Johns Hopkins Hosp Bull. 1905; 16: 315.
Millin T. Retropubic urinary surgery. London: Livingstone; 1947.
Memmelaar J, Millin T. Total prostatovesiculectomy: Retropubic approach. J Urol. 1949; 62(3): 340-8. http://www.ncbi.nlm.nih.gov/pubmed/18148289
Reiner WB, Walsh PC. An anatomical approach to the surgical management of the dorsal vein and Santorini's plexus during radical retropubic surgery. J Urol. 1979; 121: 198-200.
Walsh PC, Donker PJ. Impotence following radical prostatectomy: Insight into etiology and prevention. J Urol. 1982; 128: 492-7.
Oelrich TM. The urethral sphincter muscle in the male. Am J Anat. 1980; 158: 229-96.
Guillonneau B, Vallancien G. Laparoscopic radical prostatectomy: Initial experience and preliminary assessment after 65 operations. The Prostate. 1999; 39: 71-5.
Schuessler WW, Schulam PG, Clayman RV, Kavoussi LR. Laparoscopic radical prostatectomy: Initial short-term experience. Urology. 1997; 50(6): 854-7.
Guillonneau B. Laparoscopic radical prostatectomy: Oncological evaluation after 1000 cases at Montsouris Institute. J Urol. 2003; 169: 1261-6.
Vincenzo Ficarra. Retropubic, laparoscopic and robotic-assisted radical prostatectomy: A systematic review and cumulative analysis of comparative studies. E Ur. 2009; 55: 1037-63.
Van Velthoven RF. Technique for laparoscopic running urethrovesical anastomosis: Single knot method. Urology. 2003; 61(4): 699-702.