| Popis: |
Background: To compare the surgical, functional and oncological outcomes between innovatively “three-port” and traditionally “four-port” laparoscopic radical prostatectomy (LRP) in patients with prostate cancer (PCa).Methods: We retrospectively collected the data of PCa patients treated at our institutions from June 2012 to May 2016. According to the inclusion criteria, a total of 234 patients were included in the study, including 112 in group A (four-port) and 122 in group B (three-port). The perioperatively surgical characteristics, functional and oncological outcomes were compared between groups.Results: None of statistical difference in the baseline parameters were detected between these two groups. Compared with group A, the operative time (OT) and estimated blood loss (EBL) were significantly less in group B. The similar follow-up results were obtained in the rate of positive surgical margin (PSM), prostate specific antigen (PSA) biochemical recurrence and continence after LRP without any statistically significant difference. An identical conclusion was also received in comparison of overall survival (OS) and biochemical recurrence-free survival (BRFS) between both groups. Conclusion: Innovatively “three-port” LRP can significantly shorten the OT and reduce the EBL compared with the traditionally “four-port” LRP. Meanwhile, it does not increase the positive rate of PSM and PSA biochemical recurrence. “Three-port” LRP could be popularized in the future in view of its superior surgical technique, considerably functional outcomes and remarkably oncological control. |
