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Laparoscopic radical prostatectomy: early safety and efficacy
Liam C Wilson1, Katie M Kennett, Peter J Gilling
1Department of Urology, Tauranga Hospital, Tauranga, New Zealand.
ANZ Journal of Surgery
|December 3, 2004
Summary
Laparoscopic radical prostatectomy shows promising initial outcomes, with high continence rates and low complication rates in selected patients. This minimally invasive approach is feasible and effective in the Australasian setting.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Evaluating the initial outcomes of laparoscopic radical prostatectomy.
- Assessing feasibility in the Australasian context.
Purpose of the Study:
- To evaluate the initial results of laparoscopic radical prostatectomy.
- To determine the feasibility and outcomes of this procedure in the Australasian environment.
Main Methods:
- Prospective data collection from 30 patients undergoing laparoscopic radical prostatectomy between January 2000 and September 2003.
- Minimum 6-month follow-up for all patients.
- Data included perioperative outcomes, complications, and functional results.
Main Results:
- No conversions to open surgery or re-operations were required.
- Mean operating time was 328 minutes; one intraoperative rectal injury occurred.
- Postoperative complications included two anastomotic leaks; 83% continence at 6 months; 23% positive surgical margins; 4.5% biochemical recurrence at 12 months.
Conclusions:
- Initial results are comparable to or better than those from high-volume centers.
- Laparoscopic radical prostatectomy is a feasible procedure for appropriately selected patients in the Australasian setting.