Prostatectomía simple (adenomectomía) por vía laparoscópica: experiencia en 59 pacientes consecutivos

Castillo, Octavio A.; Bolufer, E.; López-Fontana, Gastón; Sánchez-Salas, Rafael; Foneron, A.; Vidal-Mora, Ivar; Degiovanni, D.; Campos, Rossana Gómez

doi:10.1016/j.acuro.2011.01.013

Cited by 15 publications

(3 citation statements)

References 31 publications

(38 reference statements)

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“…The transperitoneal technique was used by some investigators [ 11 , 13 , 17 ], but is associated with a risk of ileus, peritonitis, and bowel injuries along with urine leakage and possible urine peritonitis from the bladder suture. No studies have compared extra– and transperitoneal laparoscopic adenomectomy in the way laparoscopic or robotic radical prostatectomy has been compared [ 24 – 26 ]. However, in LA, these two approaches give comparable results ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Endoscopic simple prostatectomy

Sosnowski

Borkowski

Chłosta

et al. 2014

CEJU

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IntroductionMany options exist for the surgical treatment of lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH), including transurethral resection of the prostate (TURP), laser surgery, and open adenomectomy. Recently, endoscopic techniques have been used in the treatment of BPH.Material and methodsWe reviewed clinical studies in PubMed describing minimally invasive endoscopic procedures for the treatment of BPH.ResultsLaparoscopic adenomectomy (LA) and robotic–assisted simple prostatectomy (RASP) were introduced in the early 2000s. These operative techniques have been standardized and reproducible, with some individual modifications. Studies analyzing the outcomes of LA and RASP have reported significant improvements in urinary flow and decreases in patient International Prostate Symptom Score (IPSS). These minimally invasive approaches have resulted in a lower rate of complications, shorter hospital stays, smaller scars, faster recoveries, and an earlier return to work.ConclusionsMinimally invasive techniques such as LA and RASP for the treatment BPH are safe, efficacious, and allow faster recovery. These procedures have a short learning curve and offer new options for the surgeon treating BPH.

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Section: Resultsmentioning

confidence: 99%

Endoscopic simple prostatectomy

Sosnowski

Borkowski

Chłosta

et al. 2014

CEJU

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“…The limitations of LSP are previous pelvic surgery and known bleeding diathesis in which case HoLEP is preferable [7] . Also, only experienced laparoscopic surgeon can perform LSP with a favourable outcome [24] .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic adenomectomy in BPH – Does it have a role today?

Ramalingam

Nachimuthu

Senthil

et al. 2018

Asian Journal of Urology

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Symptomatic benign prostatic hyperplasia (BPH) is managed medically worldwide, but transurethral resection of prostate (TURP) is the gold standard in refractory cases. Holmium laser enucleation of prostate (HoLEP), laser vaporization are other options which are widely practiced. However in larger glands which are more than 80 g, open adenomectomy is still practiced. Laparoscopic adenomectomy is a minimally invasive option in such circumstances. This article explains about different techniques in minimally invasive adenomectomy and the role for this procedure today. Laparoscopic simple prostatectomy (LSP) has a place in symptomatic, larger prostatic adenoma in the hands of experienced laparoscopic surgeons when open simple prostatectomy is needed.

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“…A potential stiff learning curve for the majority of urologists could be considered an additional drawback of LSP. [ 15 ] Handling of the large adenoma during enucleation could be sometimes difficult with the mass often interfering with the operating field. An excellent collaboration with the first assistant is mandatory while separation of prostate into its lobes and extracting each of them after enucleation could preserve space within the restricted prostatic cavum.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic simple prostatectomy: A reasonable option for large prostatic adenomas

et al. 2015

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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.

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Prostatectomía simple (adenomectomía) por vía laparoscópica: experiencia en 59 pacientes consecutivos

Cited by 15 publications

References 31 publications

Endoscopic simple prostatectomy

Endoscopic simple prostatectomy

Laparoscopic adenomectomy in BPH – Does it have a role today?

Laparoscopic simple prostatectomy: A reasonable option for large prostatic adenomas

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