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The Australian laparoscopic non robotic radical prostatectomy experience - analysis of 2943 cases (USANZ supplement).
BJU Int. 2016 Oct; 118 Suppl 3:43-48.BI

Abstract

OBJECTIVES

To analyse the Australian experience of high-volume Fellowship-trained Laparoscopic Radical Prostatectomy (LRP) surgeons.

MATERIALS AND METHODS

2943 LRP cases were performed by nine Australian surgeons. The inclusion criteria were a prospectively collected database with a minimum of 100 consecutive LRP cases. The surgeons' LRP experience commenced at various times from July 2003 to September 2009. Data were analysed for demographic, peri-operative, oncological and functional outcomes.

RESULTS

The mean age of patients were 61.5 years and mean preoperative PSA 7.4 ng/ml. Mean operating time was 168 minutes with conversion to open surgery in 0.5% and a blood transfusion rate of 1.1%. Overall mean length of stay was 2.5 days. 73.6% of pathological specimens were pT2 and 86.3% had Gleason Score >7. Overall positive surgical margins (PSM) occurred in 15.9% with pT2 PSM 9.8%, pT3a PSM 30.8% and pT3b PSM 39.2%. Mean urinary continence at 12 months was 91.4% (data available from five surgeons). Mean 12 months potency after bilateral nerve spare was 47.2% (data available from four surgeons). Biochemical recurrence occurred in 10.6% (mean follow up 17 months).

CONCLUSION

The Australian experience of Fellowship trained surgeons performing LRP demonstrates favourable peri-operative, oncological and functional outcomes in comparison to published data for open, laparoscopic and robotic assisted radical prostatectomy. In our Australian centres, LRP remains an acceptable minimally invasive surgical treatment for prostate cancer despite the increasing use of robotic assisted surgery.

Authors+Show Affiliations

Department of Urology, Gosford, Wyong and Gosford Private Hospitals and University of Newcastle, Gosford, NSW, Australia.Department of Urology, Gosford, Wyong and Gosford Private Hospitals and University of Newcastle, Gosford, NSW, Australia.Department of Urology, Gosford, Wyong and Gosford Private Hospitals and University of Newcastle, Gosford, NSW, Australia. r.calopedos@gmail.com.Department of Urology, Pindara Private Hospital, Benowa, Qld, Australia.Department of Pathology, Uropath and University of Western Australia, Perth, WA, Australia.Department of Urology, The Wesley Hospital, Brisbane, Qld, Australia.Department of Urology, St John of God Hospital and University Hospital Barwon Health, Geelong, Vic., Australia.Department of Urology, Epworth Healthcare, Melbourne, Vic., Australia.Department of Urology, St Vincents Private Hospital, East Melbourne, Vic., Australia.Department of Urology, Hollywood Private Hospital, Perth, WA, Australia.Department of Urology, Bethesda Hospital, Perth, WA, Australia.Department of Urology, Royal Perth Hospital, Perth, WA, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27659257

Citation

Louie-Johnsun, Mark William, et al. "The Australian Laparoscopic Non Robotic Radical Prostatectomy Experience - Analysis of 2943 Cases (USANZ Supplement)." BJU International, vol. 118 Suppl 3, 2016, pp. 43-48.
Louie-Johnsun MW, Handmer MM, Calopedos RJ, et al. The Australian laparoscopic non robotic radical prostatectomy experience - analysis of 2943 cases (USANZ supplement). BJU Int. 2016;118 Suppl 3:43-48.
Louie-Johnsun, M. W., Handmer, M. M., Calopedos, R. J., Chabert, C., Cohen, R. J., Gianduzzo, T. R., Kearns, P. A., Moon, D. A., Ooi, J., Shannon, T., Sofield, D., & Tan, A. H. (2016). The Australian laparoscopic non robotic radical prostatectomy experience - analysis of 2943 cases (USANZ supplement). BJU International, 118 Suppl 3, 43-48. https://doi.org/10.1111/bju.13610
Louie-Johnsun MW, et al. The Australian Laparoscopic Non Robotic Radical Prostatectomy Experience - Analysis of 2943 Cases (USANZ Supplement). BJU Int. 2016;118 Suppl 3:43-48. PubMed PMID: 27659257.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Australian laparoscopic non robotic radical prostatectomy experience - analysis of 2943 cases (USANZ supplement). AU - Louie-Johnsun,Mark William, AU - Handmer,Marcus M, AU - Calopedos,Ross John Spero, AU - Chabert,Charles, AU - Cohen,Ronald J, AU - Gianduzzo,Troy R J, AU - Kearns,Paul A, AU - Moon,Daniel A, AU - Ooi,Jason, AU - Shannon,Tom, AU - Sofield,David, AU - Tan,Andrew H H, Y1 - 2016/09/23/ PY - 2016/10/30/pubmed PY - 2017/5/13/medline PY - 2016/9/24/entrez KW - laparoscopy KW - outcome KW - prostate cancer KW - radical prostatectomy SP - 43 EP - 48 JF - BJU international JO - BJU Int VL - 118 Suppl 3 N2 - OBJECTIVES: To analyse the Australian experience of high-volume Fellowship-trained Laparoscopic Radical Prostatectomy (LRP) surgeons. MATERIALS AND METHODS: 2943 LRP cases were performed by nine Australian surgeons. The inclusion criteria were a prospectively collected database with a minimum of 100 consecutive LRP cases. The surgeons' LRP experience commenced at various times from July 2003 to September 2009. Data were analysed for demographic, peri-operative, oncological and functional outcomes. RESULTS: The mean age of patients were 61.5 years and mean preoperative PSA 7.4 ng/ml. Mean operating time was 168 minutes with conversion to open surgery in 0.5% and a blood transfusion rate of 1.1%. Overall mean length of stay was 2.5 days. 73.6% of pathological specimens were pT2 and 86.3% had Gleason Score >7. Overall positive surgical margins (PSM) occurred in 15.9% with pT2 PSM 9.8%, pT3a PSM 30.8% and pT3b PSM 39.2%. Mean urinary continence at 12 months was 91.4% (data available from five surgeons). Mean 12 months potency after bilateral nerve spare was 47.2% (data available from four surgeons). Biochemical recurrence occurred in 10.6% (mean follow up 17 months). CONCLUSION: The Australian experience of Fellowship trained surgeons performing LRP demonstrates favourable peri-operative, oncological and functional outcomes in comparison to published data for open, laparoscopic and robotic assisted radical prostatectomy. In our Australian centres, LRP remains an acceptable minimally invasive surgical treatment for prostate cancer despite the increasing use of robotic assisted surgery. SN - 1464-410X UR - https://www.unboundmedicine.com/medline/citation/27659257/The_Australian_laparoscopic_non_robotic_radical_prostatectomy_experience___analysis_of_2943_cases__USANZ_supplement__ L2 - https://doi.org/10.1111/bju.13610 DB - PRIME DP - Unbound Medicine ER -