Transvesical approach laparoendoscopic single-site radical prostatectomy for organ-confined prostate

来源 :第十三届亚洲泌尿外科学会年会(UAA2015)、第二十二届全国泌尿外科学术会议(CUA2015)、第十六届全军及武警泌尿 | 被引量 : 0次 | 上传用户:pikaqiuqqq
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To investigate the feasibility of applying transvescal approach laparoendoscopic single-site radical prostatectomy (TVSSLRP) and assess the oncological and functional outcomes.thirty-nine patients with clinically localized prostate cancer (PCa) of low risk underwent TVSSLRP.Demographic data were accrued including patient age,body mass index (BMI),preoperative PSA level,prostate volume,the International Index of Erectile Function 5,biopsy Gleason score,clinical TNM stage and DAmico risk classification(T1-T2a, Gleason ≤ 6, tPSA All the operations were successfully performed and there was no conversion to standard laparoscopic approach or open surgery.The total operative time was 104.8 ± 25.9 min.The blood loss was 99.8 ± 55.7ml and no blood transfusion was required.The catheter was removed after 11.6 ± 1.4 days.No intra-operative complications occurred.No patient had positive surgical margins.The 1-month, 3-month and 6-month urinary continence rateswere 84.6%, 97.4%, 100%.The 3-month, 6-month and 12-month potency rate were 84.6%, 97.4%, 100%.During the follow-up perio, 5.1 % (2 cases) had biochemical recurrence.
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