Laparoscopic simple prostatectomy: A reasonable option for large prostatic adenomas
| Autor: | Panagiotis Kallidonis, Iason Kyriazis, Stolzenburg Jens-Uwe, Vasileios Panagopoulos, Marinos Vasilas, Abdulrahman Al-Aown, Ioannis Georgiopoulos, Evangelos Liatsikos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
benign prostatic hyperplasia Blood transfusion Prostatectomy business.industry Urology medicine.medical_treatment Postoperative complication Adenomectomy Hyperplasia medicine.disease lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 laparoscopic simple prostatectomy Surgery Bladder outlet obstruction Lower urinary tract symptoms Prostatic Adenomas bladder outlet obstruction medicine Original Article International Prostate Symptom Score business |
| Zdroj: | Urology Annals, Vol 7, Iss 3, Pp 297-302 (2015) Urology Annals |
| ISSN: | 0974-7834 0974-7796 |
| Popis: | Aim of the Study: In this work, surgical technique followed by two academic departments on laparoscopic simple prostatectomy (LSP) of large prostatic adenomas is being described. Materials and Methods: The initial cumulative experience from 11 patients with lower urinary tract symptoms of benign prostatic hyperplasia origin subjected to LSP is being presented. Results: All cases had prostatic adenomas greater than 80 ml. Mean operation time was 99.5 min (values from 70 to 150 min) and mean blood loss was 205 ml (values from 100 to 300 ml). Blood transfusion was deemed necessary in one case. Bladder catheter was removed successfully on postoperative day 5 in all cases. No significant postoperative complication was noted. At a 3 months follow-up a significant decrease in International Prostate Symptom Score (IPSS) was evident in all patients (mean IPSS 27.7 vs. 15.3 preoperative vs. postoperative accordingly). Conclusions: According to our data and similarly to the rest of the LSP literature, laparoscopic excision of voluminous prostatic adenomas is a feasible and safe procedure. Nevertheless, further investigation including a larger number of patients and long-term follow-up is deemed necessary before making definite conclusions regarding the approach. |
| Databáze: | OpenAIRE |
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