Laparoscopic radical prostatectomy: initial 70 cases at a U.S. university medical center

Dahl, Douglas M.; L’Esperance, James O.; Trainer, Andrew; Jiang, Zhong; Gallagher, Karen Patricia Domínguez; Litwin, Demetrius E. M.; Blute, Robert D.

doi:10.1016/s0090-4295(02)01953-2

Cited by 70 publications

(31 citation statements)

References 14 publications

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“…Both estimated blood loss (EBL) and transfusion rates vary widely in reported LRP series, with EBL ranging from 150 mL to 1100 mL and transfusion rates ranging from 0% to 31%. 31,[34][35][36][37][38][39][40] Despite these differences, the average EBL and average transfusion rates for LRP seem to be less than those of RRP. 41 Furthermore, the EBL seems to decrease with the surgeon's experience.…”

Section: Rectal Injurymentioning

confidence: 99%

Management of Complications of Prostate Cancer Treatment

Michaelson

Cotter

Gargollo

et al. 2008

CA: A Cancer Journal for Clinicians

161

146

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Section: Rectal Injurymentioning

confidence: 99%

Management of Complications of Prostate Cancer Treatment

Michaelson

Cotter

Gargollo

et al. 2008

CA: A Cancer Journal for Clinicians

161

146

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“…[26][27][28][29][30] Large-volume centers have described continence and early oncologic results comparable to open surgery. 12,13,31,32 Recovery of sexual funcUse of a validated quality of life questionnaire A Wagner et al tion following LRP has also been reported to be comparable to open series.…”

Section: Discussionmentioning

confidence: 99%

Use of a validated quality of life questionnaire to assess sexual function following laparoscopic radical prostatectomy

et al. 2005

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Wide variations exist in the methods for evaluating potency following radical prostatectomy. We describe our technique of laparoscopic radical prostatectomy (LRP), present our methods for assessing the return of potency following LRP, and discuss the relevant literature. Sexual function was assessed pre-and postoperatively using the Expanded Prostate Cancer Index Composite questionnaire (EPIC). Sexual function subscale scores (SFSS) were reported as a percentage of preoperative baseline sexual function. The EPIC was also used for single-question assessment of successful intercourse. We also reviewed the literature on prospective health-related quality of life results following LRP and open radical retropubic prostatectomy. Only patients reporting preoperative intercourse were analyzed. Of these, 72 and 35% undergoing bilateral and unilateral nerve sparing (NS) reported postoperative intercourse at 12 months (P ¼ 0.01). Mean SFSS at 12 months was 61 and 57% of baseline after bilateral and unilateral NS, respectively (P ¼ 0.71). Following NS procedures, 74% of patients p58 years of age and 41% of patients 458 years of age reported successful intercourse at 12 months (P ¼ 0.015). Mean SFSS was 64 and 52% of baseline function (P ¼ 0.249) at 12 months for patients p58 and 458 years of age, respectively. In patients o58 years of age who underwent bilateral NS surgery, 82% reported intercourse at 12 months. In conclusion, return of sexual function following NS LRP in our experience is comparable to reports from centers of excellence in open prostatectomy. Standardizing data collection using validated quality of life instruments can provide both surgeon and patient with a realistic forecast of relative return to normal sexual function following prostatectomy.

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“…The procedure was rapidly adopted in Europe over the following years, while in the United States few centers considered this approach. [3][4][5] Binder and Kramer 6 of the United Kingdom reported on the first robotic-assisted laparoscopic radical prostatectomy. In 2002, Menon et al 7 reported their initial experience at Henry Ford Hospital with the use of the DaVinci robot (Intuitive Surgical, Inc, Sunnyvale, Calif) after its approval for clinical use in laparoscopic prostatectomy.…”

Section: Historical Perspectivementioning

confidence: 99%