Laparoscopic radical prostatectomy: an audit after 2 years

Abstract

Introduction: Laparoscopic radical prostatectomy (LRP) was first attempted in 1992. It was not until 1998 that this technique was recognized as an feasible alternative to traditional open surgery. Laparoscopy offers good visualization, magnification and allows precise dissection and intracorporeal suturing. An audit on the clinical outcomes was done on this novel technique. Patients and Methods: 28 patients underwent LRP from March 2002 to February 2004. Inclusion criteria for surgery were similar to conventional open surgery's criteria: patients with high chance for organ‐confined disease and life expectancy of more than 10 years were included. Earlier series of open retropubic radical prostatectomy in the same hospital was used as the audit's standard for comparison. Results: Favourable results over the open series were found with regard to catheter time, transfusion, hospital stay and later functional outcomes including continence and erectile function. Complications and oncological control was found to be similar for the two groups. Operative time was observed to have reduced from 480 min to less 200 min in the 28‐case series for the laparoscopic cases. Conclusion Early results suggested favourable outcomes, but longer follow up and a controlled comparative study is needed to justify any definite conclusion for this relatively novel technique.

Prostate cancer in East Asia: evolving trend over the last decade

“…We reviewed the current literatures 117 118 119 120 121 122 123 124 125 126 127 128 129 and compared perioperative parameters and the trifecta outcomes (cancer control, continence, and potency) following RP among Asians and Westerners ( Table 3 ). As the improvement of the technical expertise and the migration toward low-risk disease in recent years, the perioperative complication rate and oncological outcomes has been comparable in the series from East Asia and Western countries.…”