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Laparoscopic radical prostatectomy: transperitoneal laparoscopic radical prostatectomy versus extraperitoneal endoscopic radical prostatectomy.
J Med Assoc Thai. 2007 Dec; 90(12):2644-50.JM

Abstract

OBJECTIVE

To compare the perioperative results between Transperitoneal Laparoscopic Radical Prostatectomy (T-LRP) and Extraperitoneal Endoscopic Radical Prostatectomy (E-LRP).

MATERIAL AND METHOD

Retrospective reviews of 125 patients who underwent laparoscopic radical prostatectomy by single surgeon (C.N) for stage T2-T3 adenocarcinoma of the prostate between May 2001 and July 2006 at Siriraj Hospital. Fifty-six cases had T-LRP and 69 cases had E-LRP The preoperative data (age, presenting PSA, and Gleason score), perioperative data (prostatic weight, operative time, intraoperative blood loss, the day of full oral diet, length of drain, and catheter time), pathologic stage, and margin status were compared.

RESULTS

Mean age and Gleason score were comparable in both groups. Mean presenting PSA was lower in T-LRP (9.93) as compared to E-LRP (21.84) (p = 0.046). The mean prostatic weight was comparable in both T-LRP and E-LRP. The mean operative time of T-LRP (350) was significant longer than E-LRP (220) (p < 0.001). Mean intraoperative blood loss was more in T-LRP (883) as compared to E-LRP (605) (p = 0.001). Average blood transfusion was higher in T-LRP (1.23 unit) as compared to E-LRP (0.32). Postoperative full oral diet, length of drain, and catheter time in E-LRP were shorter than T-LRP (full diet: median 2 days vs. 3 days, p = 0.001) (length of drain: 4.98 days vs. 6.69 days, p = 0.002) (Catheter time: 8.9 days vs. 11.9 days, p = 0.002). Margin status were comparable in both groups but mean postoperative Gleason score was higher in E-LRP as compared to T-LRP (7.2 vs. 6.85, p = 0.022).

CONCLUSIONS

E-LRP resulted in significant less operative time, intraoperative blood loss, postoperative oral diet, length of drain and catheter time where as the pathological margin status was the same in both T-LRP and E-LRP.

Authors+Show Affiliations

Division of Urology, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18386715

Citation

Phinthusophon, Kittipong, et al. "Laparoscopic Radical Prostatectomy: Transperitoneal Laparoscopic Radical Prostatectomy Versus Extraperitoneal Endoscopic Radical Prostatectomy." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 90, no. 12, 2007, pp. 2644-50.
Phinthusophon K, Nualyong C, Srinualnad S, et al. Laparoscopic radical prostatectomy: transperitoneal laparoscopic radical prostatectomy versus extraperitoneal endoscopic radical prostatectomy. J Med Assoc Thai. 2007;90(12):2644-50.
Phinthusophon, K., Nualyong, C., Srinualnad, S., Taweemonkongsap, T., & Amornvesukij, T. (2007). Laparoscopic radical prostatectomy: transperitoneal laparoscopic radical prostatectomy versus extraperitoneal endoscopic radical prostatectomy. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 90(12), 2644-50.
Phinthusophon K, et al. Laparoscopic Radical Prostatectomy: Transperitoneal Laparoscopic Radical Prostatectomy Versus Extraperitoneal Endoscopic Radical Prostatectomy. J Med Assoc Thai. 2007;90(12):2644-50. PubMed PMID: 18386715.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic radical prostatectomy: transperitoneal laparoscopic radical prostatectomy versus extraperitoneal endoscopic radical prostatectomy. AU - Phinthusophon,Kittipong, AU - Nualyong,Chaiyong, AU - Srinualnad,Sittiporn, AU - Taweemonkongsap,Tawatchai, AU - Amornvesukij,Teerapon, PY - 2008/4/5/pubmed PY - 2008/5/1/medline PY - 2008/4/5/entrez SP - 2644 EP - 50 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 90 IS - 12 N2 - OBJECTIVE: To compare the perioperative results between Transperitoneal Laparoscopic Radical Prostatectomy (T-LRP) and Extraperitoneal Endoscopic Radical Prostatectomy (E-LRP). MATERIAL AND METHOD: Retrospective reviews of 125 patients who underwent laparoscopic radical prostatectomy by single surgeon (C.N) for stage T2-T3 adenocarcinoma of the prostate between May 2001 and July 2006 at Siriraj Hospital. Fifty-six cases had T-LRP and 69 cases had E-LRP The preoperative data (age, presenting PSA, and Gleason score), perioperative data (prostatic weight, operative time, intraoperative blood loss, the day of full oral diet, length of drain, and catheter time), pathologic stage, and margin status were compared. RESULTS: Mean age and Gleason score were comparable in both groups. Mean presenting PSA was lower in T-LRP (9.93) as compared to E-LRP (21.84) (p = 0.046). The mean prostatic weight was comparable in both T-LRP and E-LRP. The mean operative time of T-LRP (350) was significant longer than E-LRP (220) (p < 0.001). Mean intraoperative blood loss was more in T-LRP (883) as compared to E-LRP (605) (p = 0.001). Average blood transfusion was higher in T-LRP (1.23 unit) as compared to E-LRP (0.32). Postoperative full oral diet, length of drain, and catheter time in E-LRP were shorter than T-LRP (full diet: median 2 days vs. 3 days, p = 0.001) (length of drain: 4.98 days vs. 6.69 days, p = 0.002) (Catheter time: 8.9 days vs. 11.9 days, p = 0.002). Margin status were comparable in both groups but mean postoperative Gleason score was higher in E-LRP as compared to T-LRP (7.2 vs. 6.85, p = 0.022). CONCLUSIONS: E-LRP resulted in significant less operative time, intraoperative blood loss, postoperative oral diet, length of drain and catheter time where as the pathological margin status was the same in both T-LRP and E-LRP. SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/18386715/Laparoscopic_radical_prostatectomy:_transperitoneal_laparoscopic_radical_prostatectomy_versus_extraperitoneal_endoscopic_radical_prostatectomy_ L2 - https://medlineplus.gov/endoscopy.html DB - PRIME DP - Unbound Medicine ER -