Minilaparotomy radical retropubic prostatectomy: technique and results.
| Autor: | Marshall FF; James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA., Chan D, Partin AW, Gurganus R, Hortopan SC |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of urology [J Urol] 1998 Dec; Vol. 160 (6 Pt 2), pp. 2440-5. |
| DOI: | 10.1097/00005392-199812020-00014 |
| Abstrakt: | Purpose: A small incision (minilaparotomy) radical retropubic prostatectomy is described and evaluated. A newly designed self-retaining retractor was used as a robot and functioned as a second operative assistant. Materials and Methods: A total of 522 consecutive patients underwent minilaparotomy radical prostatectomy by a single surgeon (F. F. M.) between 1991 and 1997. The technique of minilaparotomy radical retropubic prostatectomy (a 7 to 8 cm. midline incision) is described in detail. Results: A questionnaire was mailed to all 522 patients and there were 265 responses. Satisfactory continence was achieved in the short term in 85% of patients (0 to 1 pad). Of the patients 83% had a prostate specific antigen of less than 0.2 ng./ml. at average followup of 2.6 years. There was no operative mortality and the overall complication rates were similar to other patients treated by the same department staff with a larger incision. The typical patient was discharged home 3 days postoperatively. Conclusions: Minilaparotomy radical retropubic prostatectomy compares favorably with standard radical retropubic prostatectomy. |
| Databáze: | MEDLINE |
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