[Radical prostatectomies for localized prostate cancer performed in center satellite collaboration--is it possible?].
| Autor: | Jønler M; Regionshospitalet Viborg, Urologisk Afdeling. jonler@dadlnet.dk, Johansen J, Lund L, Pedersen KV, Graversen PH |
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| Jazyk: | dánština |
| Zdroj: | Ugeskrift for laeger [Ugeskr Laeger] 2007 May 14; Vol. 169 (20), pp. 1917-21. |
| Abstrakt: | Introduction: In an effort to comply with the increasing demand for surgery for localized prostate cancer a center satellite collaboration was established between a university department and two local urological departments. The purpose of the present study was to evaluate open radical prostatectomies performed by this collaboration. Materials and Methods: The centre satellite collaboration included preoperative evaluation and treatment at local hospitals and evaluation of operative results by audit every 6 months. Results: 104 patients were operated during the study period. 4 patients were excluded due to findings of carcinoma in lymph nodes examined by frozen section. This study describes the first 100 radical prostatectomies. Median operating time was 85 minutes (60-175) and median hospitalization was 6 days (5-23). 18 patients received blood transfusions in relation to surgery. Perioperative mortality was 0. Histological examination of prostatectomy specimens revealed that 70 patients had a localised prostate cancer (organ confined tumour) and were considered cured for their cancer. Few patients had full urinary control (no pads) at 6 weeks control, and at 12 months control 49 of 50 controlled patients were considered continent. Potency was a major problem. 22% of the 50 patients evaluated after 12 months had PSA recurrence and almost all were given adjuvant hormonal treatment. Conclusions: Radical prostatectomy performed in collaboration between a university department and local urological departments as described is beneficial to both patients and the departments involved. Postoperative results matching larger departments can be achieved. |
| Databáze: | MEDLINE |
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