Laparoscopic radical prostatectomy: Initial short-term experience
Laparoscopic radical prostatectomy: Initial short-term experience
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DOI：
10.1016/s0090-4295(97)00543-8
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发表时间：
1997-12-01
期刊：
影响因子：
2.1
通讯作者：
Kavoussi, LR
中科院分区：
文献类型：
--
作者：
Schuessler, WW;Schulam, PG;Kavoussi, LR
目标。目的探讨腹腔镜下根治性耻骨后前列腺切除术（RRP）的可行性和有效性。一种经腹腔腹腔镜技术被开发来执行RRP。通过5个10毫米套管获得腹腔内通路。切除前列腺后，经膀胱入路行尿道膀胱吻合术，延长脐部切口切除前列腺。结果：1991年9月至1995年5月共施行腹腔镜rrp手术9例，平均手术时间9.4小时。9例患者中仅有1例手术切缘累及尿道呈阳性。9例患者中6例术后完全通畅。在4例术前有效的患者中，2例持续勃起，有3个并发症：胆囊炎，血栓性静脉炎合并肺栓塞，小肠疝进入套管针部位。结论：腹腔镜根治性前列腺切除术是可行的，但目前在肿瘤切除、失禁、效力、住院时间、康复期和美容效果方面没有开放性手术的优势。(C) 1997, Elsevier Science Inc.；版权所有。
Objectives. To determine the feasibility and efficacy of a laparoscopic approach to the radical retropubic prostatectomy (RRP).Methods. A transperitoneal laparoscopic technique was developed to perform an RRP. Intra-abdominal access was obtained through five 10-mm trocars. After dissection of the prostate, the urethrovesical anastomosis was created via a transvesical approach, The prostate was removed by extending the umbilical incision.Results, Between September 1991 and May 1995, nine laparoscopic RRPs were performed, The operative time averaged 9.4 hours. Only 1 of 9 patients had a positive surgical margin that involved the urethra. Six of 9 patients were completely continent postoperatively. Of the 4 patients who were potent preoperatively, 2 continued to have erections, There were three complications: cholecystitis, thrombophlebitis associated with a pulmonary embolism, and a small bowel hernia into a trocar site,Conclusions, Laparoscopic radical prostatectomy is feasible but currently offers no advantage over open surgery with regard to tumor removal, continence, potency, length of stay, convalescence, and cosmetic result. (C) 1997, Elsevier Science Inc. All rights reserved.