Abstract

Management of Localized Prostate Cancer by Retroperitoneal Laparoscopic Radical Prostatectomy in Patients after Kidney Transplantation

Highlights

  • Kidney transplant recipients (KTRs) are at high risk for de novo malignancies

  • We report the outcomes for three patients with prior renal transplants who underwent retroperitoneal Laparoscopic radical prostatectomy (RP) (LRP)

  • Robotic prostatectomy is accepted as a standard treatment for localized prostate cancer (PCa)

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Summary

Methods

Between 2006 and 2013, 234 consecutive LRPs were performed at Tokyo Women’s Medical University Hospital. We report the outcomes for three patients with prior renal transplants who underwent retroperitoneal LRP. Results: the mean age of the patients was 56.3 years. The average operative time was 236 min (range, 180–315 min). The mean estimated blood loss was 54.6 mL, with no patients requiring blood transfusions. Tension-free urethrovesical anastomosis was achieved in every patient, anastomotic leakage occurred in two patients. The average hospital stay was 18.3 days, and the mean duration of urethral catheterization was 21 days. Serum creatinine levels remained unchanged in two patients who had functioning renal allografts. The third patient commenced hemodialysis postoperatively and resumed a continuous ambulatory peritoneal dialysis regimen two weeks after the operation

Introduction
Patients and Methods
Surgical Procedure and Postoperative Management
Discussion
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