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Japanese experience with radical prostatectomy.

Isao Hara1, Gaku Kawabata

  • 1Department of Urology, Kobe University School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan. hara@med.kobe-u.ac.jp.

Current Urology Reports
|June 27, 2002
PubMed
Summary

Laparoscopic prostatectomy shows promising results in Japan for localized prostate cancer, with satisfactory outcomes in cancer control and recovery. Further follow-up is needed to fully assess long-term recurrence and sexual function after this minimally invasive surgery.

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Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Laparoscopic prostatectomy is gaining traction as an alternative to open surgery for localized prostate cancer.
  • Key treatment goals include cancer control and preserving urinary and sexual function.

Purpose of the Study:

  • To evaluate the current status and outcomes of laparoscopic prostatectomy in Japan.
  • To compare its efficacy against open prostatectomy regarding oncological and functional results.

Main Methods:

  • Review of over 250 laparoscopic prostatectomy cases in Japan.
  • Assessment of surgical outcomes including positive surgical margin rate, blood loss, and recovery.

Main Results:

  • Satisfactory results reported for positive surgical margin rate, bleeding volume, and urinary continence.

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  • Challenges include long operative times and procedural difficulty.

    • Conclusions:

    • Laparoscopic prostatectomy demonstrates encouraging early outcomes in Japan.
    • Ongoing efforts aim to overcome surgical challenges and establish it as a standard treatment.