Marcin Słojewski, Adam Gołąb, Marcin Gałęski, Andrzej Sikorski
- Katedra i Klinika Urologii Pomorskiej Akademii Medycznej w Szczecinie
prostate, prostatic adenoma, surgical treatment, prostatectomy, laparoscopy
Introduction. Recently reports about laparoscopic prostatectomy (LP) has been published Millin’s transcapsular technique or transvesical approach is used by particular authors. In this paper we present our experience with LA. We also describe in details our surgical
Material and methods. Between 12.2006 and 10.2007 we have performed10 LAs in men from 59 to 78 years old. Prostate volume, evaluated with transrectal ultrasonography was between 110 and 190 ccm. All procedures were performed under general anaesthesia with extraperitoneal approach. In three cases transvesical technique was applied, and in seven cases Millin’s method was used with “finger assisted” removal of adenoma in six of them.
Results. Among ten operations there were two cases of conversion to open procedure. There were no serious intraoperative complications. Average “skin to skin” operative time was 82 minutes. The weight of removed adenoma was approximately 98 g. The mean blood loss was evaluated on 280 ml. Hospital stay was from 3 to 7 days (aver. 4,1).
Conclusions. LA is a feasible technique. In our opinion extraperitoneal approach is more suitable and allows the classic approach in case of conversion. Our preliminary results suggest the possibility to introduce this method in the future as a routine in centers with laparoscopic skills. Shorter hospitalization and low complication rate are additional advantages. This minimally invasive technique is a reasonable alternative to open simple prostatectomy.
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