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Laparoscopic radical prostatectomy: introduction of training during our first 50 cases.
ANZ J Surg. 2012 Mar; 82(3):131-5.AJ

Abstract

BACKGROUND

The study aims to assess the initial experience of laparoscopic radical prostatectomy (LRP) in a regional centre in Australia which includes Fellowship training during our first 50 cases.

METHODS

Data were collected prospectively from our first 50 consecutive patients who underwent LRP for localized prostate cancer between September 2009 and October 2010. All cases were performed or supervised by the primary surgeon. Patient details, operative details, complications, early oncological and functional outcomes were analysed.

RESULTS

The median age was 65 (45-76) years and median preoperative prostate-specific antigen was 7.5 (2.5-23) ng/mL, with palpable disease present in 48%. Using D'Amico's risk stratification, 14%, 74% and 12% were in low, intermediate and high-risk categories, respectively. Forty percent of cases were training cases with a median of 5 (2-8) of 10 operative steps performed by the Fellow. There was one open conversion and no rectal injuries. Mean operative time was 288 (175-440) min and with blood transfusion rate of 6%. Mean length of stay was 2.5 (1-6) days. Positive surgical margin rates for pT2 and pT3 disease were 14% and 52%, respectively, although for the last 25 cases they were 7% and 30%, respectively. Continence rate was 86% at 6 months, and 45% and 33% of preoperatively potent patients were potent after bilateral and unilateral nerve preservation at 6 months.

CONCLUSION

LRP has been safely introduced in a regional centre with establishment of a Fellowship training programme, with early results comparable with other open, laparoscopic and robotic series.

Authors+Show Affiliations

Department of Urology, Gosford Hospital, New South Wales, Australia. mlj88a@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

22510121

Citation

Louie-Johnsun, Mark, et al. "Laparoscopic Radical Prostatectomy: Introduction of Training During Our First 50 Cases." ANZ Journal of Surgery, vol. 82, no. 3, 2012, pp. 131-5.
Louie-Johnsun M, Ouyang R, Indrajit B, et al. Laparoscopic radical prostatectomy: introduction of training during our first 50 cases. ANZ J Surg. 2012;82(3):131-5.
Louie-Johnsun, M., Ouyang, R., Indrajit, B., & Haque, M. (2012). Laparoscopic radical prostatectomy: introduction of training during our first 50 cases. ANZ Journal of Surgery, 82(3), 131-5. https://doi.org/10.1111/j.1445-2197.2011.05986.x
Louie-Johnsun M, et al. Laparoscopic Radical Prostatectomy: Introduction of Training During Our First 50 Cases. ANZ J Surg. 2012;82(3):131-5. PubMed PMID: 22510121.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic radical prostatectomy: introduction of training during our first 50 cases. AU - Louie-Johnsun,Mark, AU - Ouyang,Rupert, AU - Indrajit,Bala, AU - Haque,Mohammad, Y1 - 2012/01/17/ PY - 2012/4/19/entrez PY - 2012/4/19/pubmed PY - 2012/8/21/medline SP - 131 EP - 5 JF - ANZ journal of surgery JO - ANZ J Surg VL - 82 IS - 3 N2 - BACKGROUND: The study aims to assess the initial experience of laparoscopic radical prostatectomy (LRP) in a regional centre in Australia which includes Fellowship training during our first 50 cases. METHODS: Data were collected prospectively from our first 50 consecutive patients who underwent LRP for localized prostate cancer between September 2009 and October 2010. All cases were performed or supervised by the primary surgeon. Patient details, operative details, complications, early oncological and functional outcomes were analysed. RESULTS: The median age was 65 (45-76) years and median preoperative prostate-specific antigen was 7.5 (2.5-23) ng/mL, with palpable disease present in 48%. Using D'Amico's risk stratification, 14%, 74% and 12% were in low, intermediate and high-risk categories, respectively. Forty percent of cases were training cases with a median of 5 (2-8) of 10 operative steps performed by the Fellow. There was one open conversion and no rectal injuries. Mean operative time was 288 (175-440) min and with blood transfusion rate of 6%. Mean length of stay was 2.5 (1-6) days. Positive surgical margin rates for pT2 and pT3 disease were 14% and 52%, respectively, although for the last 25 cases they were 7% and 30%, respectively. Continence rate was 86% at 6 months, and 45% and 33% of preoperatively potent patients were potent after bilateral and unilateral nerve preservation at 6 months. CONCLUSION: LRP has been safely introduced in a regional centre with establishment of a Fellowship training programme, with early results comparable with other open, laparoscopic and robotic series. SN - 1445-2197 UR - https://www.unboundmedicine.com/medline/citation/22510121/Laparoscopic_radical_prostatectomy:_introduction_of_training_during_our_first_50_cases_ L2 - https://doi.org/10.1111/j.1445-2197.2011.05986.x DB - PRIME DP - Unbound Medicine ER -