Laparoscopic Radical Prostatectomy: First Two Cases Performed by Costa Rican Urologists
DOI:
https://doi.org/10.51481/amc.v52i4.684Keywords:
Laparoscopy, prostate cancer, radical prostatectomyAbstract
We herein report the first two cases of laparoscopic radical prostatectomy (LRP) performed by Costarican Urologists. Two 50 and 64-year-old patients respectively, with an adenocarcinoma of the prostate with Gleason scores (3+ 3) 6, diagnosed trough transrectal ultrasonografic guided biopsies, indicated by an elevation of the prostate specific
Servicio de Urología, Hospital Dr. Rafael A. Calderón Guardia. Abreviaturas: PRL, Prostatectomía Radical Laparoscópica; LRP, Laparoscopic radical prostatectomy; SHIM, Sexual Human Inventory for Males. Agradecimientos: Doctores Gonzalo Azua Córdoba, Fabián Fonseca Guzmán, Maximiliano Mauro Stamati.
Correspondencia: Unidad de Urología, Hospital Rafael A. Calderón Guardia, Barrio Aranjuez, San José, Costa Rica.
ISSN 0001-6002/2010/52/4/257-259
Acta Médica Costarricense, ©2010
Colegio de Médicos y Cirujanos
antigen (PSA) or abnormal rectal digital examination (DRE). The LRP was performed transperitonealy with Montsouris technique using standard laparoscopy instruments and high definition laparoscopic video tower.
After placing a 10mm camera port through the umbilicus, the procedure was accomplished with 4 trocars. The entire operative time was 240 and 205 minutes, whereas the blood loss was 150 and 100 ml respectively. The extraction of the specimens with seminal vesicles was through a 3 cm. umbilical incision. A closed drainage system was left in place through one of the 5mm port incisions. There were no complications trans or post operative, the time of hospitalization was 3 and 2 days respectively, and the drain was retrieved third and second day postoperative. Moreover, an indwelling Foley catheter was removed 14 days in an outpatient setting. The pathology department reported that both prostates weighed 27 and 23 grams each, and had a Gleason score (3+ 4) 7 and (3+3) 6 respectively. In addition, both specimens were reported to have negative margins, without neurovascular infiltration.
In conclusion, LPR is a safe, feasible and reproducible a minimally invasive procedure for men with confined prostate cancer, with better cosmesis, less bleeding and less postoperative pain.
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References
Abreu SC, Gill IS. Pertinent issues related to laparoscopic radical prostatectomy. Int Braz J Urol 2003; 29:489-96.
Cathelineau X. Transperitoneal or extraperitoneal approach for laparoscopic radical prostatectomy: a false debate over a real challenge. J Urol 2004; 171:714-6.
Emiliozzi P, Martini M, d'Elia G, Scarpone P, Pansadoro A. Pansadoro V, A new technique for laparoscopic vesicourethral anastomosis: preliminary report. Urology 2008; 72:1341-3.
Hamilton RJ, Finelli A. The impact of introducing laparoscopic radical prostatectomy on surgical wait times for prostate cancer. Can J Urol. 2006; 13 Suppl 3:25-9.
Gill IS, Clayman RV, Elspeth M, McDougall EM. Advances in urological laparoscopy. J Urol 1995; 154:1275-94.
Guillonneau B, Vallancien G. Laparoscopic radical prostatectomy: montsouris technique. J Urol 2000;163:1643-9.
Guillonneau B, Rozet F, Cathelineau X, Lay F, Barret B, Doublet JD, Baumert H, Vallancien G. Perioperative complication of laparoscopic radical prostatectomy: The Montsouris 3-year experience. J Urol Acad Sci 2002; 167:51-6.
Hammad FT. Radical prostatectomy. Ann 2008;1138:267-77.
LLorente A, Carrera C, Sánchez M, Morena JM, González F, Martínez J, Abbad D. Proceedings in the implantation of a laparoscopic radical prostatectomy program. Actas Urol Esp. 2005 29:349-54.
Nadu A, Salomon L, Hoznek A, Olsson LE, Saint F, De la Taille A, Cicco A, Chopin D, Abbou CC. Early Renoval of the catheter after laparoscopic Radical Prostatectomy. J Urol 2001;166:1662-4.
Rocco F, Carmignania L, Acquatia P, Gaddaa F, Dell'Ortoa P, Roccob B, Bozzinia, G. Gazzanoc G, Morabito A. Restoration of posterior aspect of rhabdosphincter shortens continence time after radical retropubic prostatectomy. J Urol 2006; 175:2201-6.
Teber D, Dekel Y, Frede T, Klein J, Rassweiler J. The Heilbronn laparoscopic training program for laparoscopic suturing: concept and validation. J Endourol 2005;19:230-8.
Rassweiler J, Sentker L, Seemann O, Hatzinger M, Runpelt HR. Laparoscopic radical prostatectomy with the Heilbronn technique: An analysis of the first 180 cases. J Urol 2001;166:2101-08.
Skrekas T, Laguna MP, De la Rosette JJ. Laparoscopic radical prostatectomy: a European virus. Minim Invasive Ther Allied Technol 2005; 14:98-103.
Sultan R, Slova D, Thiel B, Lepor H. Time to return to work and physical activity following open radical retropubic prostatectomy. J Urol 2006; 176:1420-3.
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