Dorsal vein complex preserving technique for intrafascial nerve‐sparing laparoscopic radical prostatectomy
| Autor: | Akio Hoshi, Yuuki Shimizu, Tetsuro Tomonaga, Yukio Usui, Kazuya Hanai, Masayoshi Kawakami, Toshiro Terachi, Nobuyuki Nakajima, Takeshi Nomoto |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Nerve sparing Laparoscopic radical prostatectomy Urology medicine.medical_treatment sexual function Erectile Dysfunction Urethra medicine Humans Dorsal vein complex Aged Prostatectomy urinary incontinence integumentary system business.industry Expanded Prostate Cancer Index Composite Early recovery Middle Aged prostate cancer laparoscopic surgery Single surgeon quality of life Original Articles Clinical Investigations Laparoscopy Positive Surgical Margin business |
| Zdroj: | International Journal of Urology |
| ISSN: | 1442-2042 0919-8172 |
| DOI: | 10.1111/j.1442-2042.2012.03181.x |
| Popis: | Objectives To describe a novel dorsal vein complex preserving technique for intrafascial nerve-sparing laparoscopic radical prostatectomy and to evaluate its postoperative outcomes. Methods A total of 109 patients who underwent laparoscopic radical prostatectomy by a single surgeon were evaluated, including 44 patients with dorsal vein complex preserving technique for intrafascial nerve-sparing laparoscopic radical prostatectomy, 20 patients with conventional intrafascial nerve-sparing laparoscopic radical prostatectomy and 45 patients with non-nerve-sparing laparoscopic radical prostatectomy. Functional outcomes were evaluated using a self-administered questionnaire (Expanded Prostate Cancer Index Composite). Continence was defined as zero to one security pad per day. Oncological outcomes were evaluated based on positive surgical margin. Results In the dorsal vein complex preserving technique for intrafascial nerve-sparing laparoscopic radical prostatectomy group, the continence rate was 57%, 77% and 95% at 1, 3 and 12 months, respectively. The continence rate in the conventional intrafascial nerve-sparing laparoscopic radical prostatectomy group was 37%, 63% and 90%, and in the non-nerve-sparing laparoscopic radical prostatectomy group it was 23%, 57% and 82% at 1, 3, and 12 months, respectively. The dorsal vein complex preserving technique for intrafascial nerve-sparing laparoscopic radical prostatectomy group showed a significantly earlier recovery from incontinence compared with that in the conventional intrafascial nerve-sparing laparoscopic radical prostatectomy and non-nerve-sparing laparoscopic radical prostatectomy groups (log–rank test, P = 0.044 and P |
| Databáze: | OpenAIRE |
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