The clinical application of modified laparoscopic radical prostatectomy

doi:10.3877/cma.j.issn.1674-3253.2017.02.007

Abstract

Abstract:

Objective

To evaluate the technique and clinical outcomes of modified laparoscopic radical prostatectomy(LRP).

Methods

Sixteen cases of LRP from March 2014 to September 2015 were retrospectively analyzed, 7 cases were enrolled in standard group, other contemporaneous 9 cases were improved group. Dorsal vascular complex ligation-free method and other improved skills were adopted to protect neurovascular bundle and urethral sphincter. Bladder-urethral anastomotic tension was reduced. Indicators such as operative time, blood loss, indwelling catheter days and urinary continence were studied.

Results

The operation time, blood loss, urine tube indwelling days of the standard group were 230 minutes, 371 ml and 21.4 days respectively, the corresponding indexes of the improved group were 197 minutes, 324 ml and 16.7 days respectively. The operative time of improved group was obviously reduced than standard group (P<0.05). The 30 days, 90 days and 180 days postoperative continence rates of the improved group were higher than standard group.

Conclusion

The delicate skills in the modified LRP can improve the efficiency of operation, reduce the operation time, remove catherer earlier without increasing bleeding, and the urinary continence can recover better. Modified LRP is safe and effective and worth to be popularized.

Key words: Prostate tumor, Laparoscope

Can Wei, Junfeng Jing, Xiaoliang Yang, Wei Wu, Junhua Xi, Yun Chen, Zhenxing Yang, Wei Wang, Quansheng Ying, Yanbin Zhang. The clinical application of modified laparoscopic radical prostatectomy[J]. Chinese Journal of Endourology(Electronic Edition), 2017, 11(02): 105-108.

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项目	例数	手术时间（min，±s）	出血量（ml，±s）	尿管留置时间（d，±s）	30 d尿控率[例（%）]	90 d尿控率[例（%）]	180 d尿控率[例（%）]
标准组	7	230±23	371±132	21.4±6.2	1（14）	4（57）	5（71）
改良组	9	197±25	324±159	16.7±2.1	4（44）	8（89）	9（100）
统计值	?	t=2.633	t=0.63	t=2.169	χ²=1.667	χ²=2.116	χ²=2.939
P值	?	0.02	0.539	0.048	0.197	0.146	0.086

项目	例数	手术时间（min，±s）	出血量（ml，±s）	尿管留置时间（d，±s）	30 d尿控率[例（%）]	90 d尿控率[例（%）]	180 d尿控率[例（%）]
标准组	7	230±23	371±132	21.4±6.2	1（14）	4（57）	5（71）
改良组	9	197±25	324±159	16.7±2.1	4（44）	8（89）	9（100）
统计值	?	t=2.633	t=0.63	t=2.169	χ²=1.667	χ²=2.116	χ²=2.939
P值	?	0.02	0.539	0.048	0.197	0.146	0.086

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