ANATOMY - SPARING LAPAROSCOPIC RADICAL PROSTATECTOMY… IS IT POSSIBLE?

A B Novikov,I N Orlov,T R Biktimirov,M I Komarov,V P Sergeev,E E Galliamov,M A Agapov,R G Biktimirov,E A Galliamov,D I Volodin,A D Kochkin,E N Bolgov,A E Sanzharov,I U Volnykh,K S Presnov,I V Meshankin,S V Popov

doi:10.38181/2223-2427-2020-2-23-35

Abstract

The fact is that nerve- and fascial-sparing robot-assisted technique improves functional results of radical prostatectomy.The aim of study: to evaluate feasibility and effectiveness of anatomy-sparing radical prostatectomy performed by conventional laparoscopy.Material and methods: A total of 4025 patients with prostate cancer who underwent conventional lap radical prostatectomy (LRP) between 2010 and 2020 were retrospectively reviewed. After that only cases of anatomy-sparing technique were enrolled. The perioperative parameters of these 714 men were analyzed. Continence was defined by “Pad-test” 1 or none.Results: There were no mortality, intra- and Clavien ≥ III postoperative complications i.q. conversions to open surgery. Average OR time & EBL – 155,3 min & 187,2 ml respectively. Mean time of bladder catheterization – 7,4 d. The frequency of positive surgical margins – 9,7%. Immediate and absolute continence has been reached in 38,2% of cases. In the other 42,3% of patients the “Pad-test” was not more than one. Thus 80,5% of our patients were satisfied with urination after surgery. Conclusions: conventional laparoscopic surgical technique described in this paper is not only feasible effective and safe but also achieve a better functional result.

Highlights

Вместе с тем, ряд авторов сообщает о средней частоте удержания мочи после удаления катетера около 70% [10]; однако, при детальном анализе раннего удержания, эта цифра оказывается значительно меньше и составляет 25.7% [11]
The fact is that nerve
evaluate feasibility and effectiveness of anatomy-sparing radical prostatectomy performed by conventional laparoscopy

Summary

NVB sparing Veil of Afphrodite Athermal dissection Tension free

1991 Quinlan et al Catalona et al 2002 Menon et al 2007 Tewari et al, Ahlering et al 2007 Kowalczyk et al. В идеальном представлении, РПЭ с полным сохранением перипростатической анатомии показана пациентам с клинически локализованным РПЖ (сT1c – сТ2а, Глисон

Хирургическая техника

Пунктиром обозначена линия шва ПВК

Список литературы

Сведения об авторах

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