Transurethral assistant transumbilical laparoendoscopic single-site radical prostatectomy
| Autor: | Xiao-Jian Gu, Qingyi Zhu, Yang Zhang, Ning-Hong Wang, Jian Su, Lin Yuan, Yun Su, Chen Zhu, Zi-jie Lu |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Laparoscopic surgery
Male medicine.medical_specialty laparoendoscopic single-site surgery Urology medicine.medical_treatment Umbilicus (mollusc) Operative Time Anastomosis Patient Positioning Prostate cancer Postoperative Complications medicine Humans transurethral assistant Laparoscopy Intraoperative Complications Aged Aged 80 and over medicine.diagnostic_test Umbilicus business.industry Prostatectomy Transurethral Resection of Prostate Prostatic Neoplasms Endoscopy General Medicine Perioperative Middle Aged medicine.disease prostate cancer Surgery Treatment Outcome Original Article Neoplasm Grading business |
| Zdroj: | Asian Journal of Andrology |
| ISSN: | 1745-7262 |
| Popis: | The laparoendoscopic single-site (LESS) technique is the latest technical innovation in laparoscopic surgery to undergo exponential development in urology. This study undertaken to illustrate our initial experience LESS radical prostatectomy (RP) and analyze early outcomes. Nineteen patients diagnosed with prostate cancer underwent LESS-RP in our institute. The patients were divided into two groups: conventional LESS and transurethral assistant LESS. Preoperative, perioperative, postoperative, pathologic, and functional outcomes data were assessed. With the help of a transurethral assistant, the mean operation and anastomosis time were decreased markedly. No focal positive margins were encountered. No prostate-specific antigen recurrence was detected 1 month postoperatively. Complete continence recovery (no pad) was observed in 32% of the patients at 1 month after the operation. No intraoperative and postoperative complications were reported. LESS-RP is a feasible and effective surgical procedure for treatment of prostate cancer. Moreover, transurethral assistant LESS could reduce the difficulty of LESS-RP and shorten the operation time. |
| Databáze: | OpenAIRE |
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