Laparoscopic radical prostatectomy: transperitoneal laparoscopic radical prostatectomy versus extraperitoneal endoscopic radical prostatectomy.

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dc.contributor.authorPhinthusophon, Kittipongen_US
dc.contributor.authorNualyong, Chaiyongen_US
dc.contributor.authorSrinualnad, Sittipornen_US
dc.contributor.authorTaweemonkongsap, Tawatchaien_US
dc.contributor.authorAmornvesukij, Teeraponen_US
dc.date.accessioned2009-05-27T19:54:20Z
dc.date.available2009-05-27T19:54:20Z
dc.date.issued2007-12-05en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractOBJECTIVE: To compare the perioperative results between Transperitoneal Laparoscopic Radical Prostatectomy (T-LRP) and Extraperitoneal Endoscopic Radical Prostatectomy (E-LRP). MATERIAL AND METHOD: Retrospective reviews of 125 patients who underwent laparoscopic radical prostatectomy by single surgeon (C.N) for stage T2-T3 adenocarcinoma of the prostate between May 2001 and July 2006 at Siriraj Hospital. Fifty-six cases had T-LRP and 69 cases had E-LRP The preoperative data (age, presenting PSA, and Gleason score), perioperative data (prostatic weight, operative time, intraoperative blood loss, the day of full oral diet, length of drain, and catheter time), pathologic stage, and margin status were compared. RESULTS: Mean age and Gleason score were comparable in both groups. Mean presenting PSA was lower in T-LRP (9.93) as compared to E-LRP (21.84) (p = 0.046). The mean prostatic weight was comparable in both T-LRP and E-LRP. The mean operative time of T-LRP (350) was significant longer than E-LRP (220) (p < 0.001). Mean intraoperative blood loss was more in T-LRP (883) as compared to E-LRP (605) (p = 0.001). Average blood transfusion was higher in T-LRP (1.23 unit) as compared to E-LRP (0.32). Postoperative full oral diet, length of drain, and catheter time in E-LRP were shorter than T-LRP (full diet: median 2 days vs. 3 days, p = 0.001) (length of drain: 4.98 days vs. 6.69 days, p = 0.002) (Catheter time: 8.9 days vs. 11.9 days, p = 0.002). Margin status were comparable in both groups but mean postoperative Gleason score was higher in E-LRP as compared to T-LRP (7.2 vs. 6.85, p = 0.022). CONCLUSIONS: E-LRP resulted in significant less operative time, intraoperative blood loss, postoperative oral diet, length of drain and catheter time where as the pathological margin status was the same in both T-LRP and E-LRP.en_US
dc.description.affiliationDivision of Urology, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.en_US
dc.identifier.citationPhinthusophon K, Nualyong C, Srinualnad S, Taweemonkongsap T, Amornvesukij T. Laparoscopic radical prostatectomy: transperitoneal laparoscopic radical prostatectomy versus extraperitoneal endoscopic radical prostatectomy. Journal of the Medical Association of Thailand. 2007 Dec; 90(12): 2644-50en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/42011
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAgeden_US
dc.subject.meshEndoscopy --methodsen_US
dc.subject.meshHealth Status Indicatorsen_US
dc.subject.meshHumansen_US
dc.subject.meshLaparoscopy --methodsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPerioperative Careen_US
dc.subject.meshPeritoneum --surgeryen_US
dc.subject.meshProstate --surgeryen_US
dc.subject.meshProstate-Specific Antigen --analysisen_US
dc.subject.meshProstatectomy --methodsen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSurgical Procedures, Operativeen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleLaparoscopic radical prostatectomy: transperitoneal laparoscopic radical prostatectomy versus extraperitoneal endoscopic radical prostatectomy.en_US
dc.typeJournal Articleen_US
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