scholarly journals PRELIMINARY REPORT: LAPAROSCOPIC RADICAL PROSTATECTOMY IN JAKARTA

2012 ◽  
Vol 19 (2) ◽  
Author(s):  
Mohammad Johan ◽  
Chaidir Arif Mochtar ◽  
Rainy Umbas

Objective: To report initial experience of laparoscopic radical prostatectomy (LRP) in Jakarta and evaluate the functional and oncology outcome. Material & Method: Between June 2007 until September 2008, we had done 9 times LRP surgery. All data is retrospectively taken and divided in three groups, i.e. pre-operative data (patient demography, pre-operative PSA, prostate volume, Gleason Score, clinical and functional staging), intra-operative data (intra-operative complication, conversion to open surgery, bleeding volume, and operating time), and post-operative data (post-operative complication, duration of urine catheter usage, duration of hospitalization, functional and oncology status). Results: Among nine subjects who underwent LRP, five subjects (55,55%) did not converted into open surgery. There are 2 subjects who gain their sexual potency and urine continence in one year post op. Only one subject is proven without biochemical failure in 1 year. Conclusion: We confirmed that radical prostatectomy can be performed with transperitoneal laparoscopic technique by a team that has been experienced in laparoscopic. Keywords: Laparoscopic radical prostatectomy, functional result, oncological result.

Urology ◽  
2004 ◽  
Vol 63 (1) ◽  
pp. 99-102 ◽  
Author(s):  
Sam B. Bhayani ◽  
Christian P. Pavlovich ◽  
Stephen E. Strup ◽  
Douglas M. Dahl ◽  
Jaime Landman ◽  
...  

2020 ◽  
Author(s):  
Bin Huang ◽  
Yukun Wu ◽  
Wenji Li ◽  
Zongren Wang ◽  
Junxing Chen ◽  
...  

Abstract Purpose: To evaluate the clinical value of robot-assisted perineal radical prostatectomy (RPRP) in the treatment of early localized prostate cancer.Methods: We retrospectively analyzed 3 consecutive patients diagnosed with prostate cancer from January 2020 to May 2020 who received RPRP in our center. The main outcomes assessed were operating time, perioperative complications and need for conversion to open surgery. Results: 3 patients successfully underwent RPRP with no conversion to open surgery. No intra-operative complications were seen. Average operative time was 201.67±61.53 min, console time was131.67±32.53 min, with an estimated blood loss of 183.33±28.87mL. 2 patients were discharged within 10 days postoperatively with perineal drainages removed. The Foley catheter was removed 2 weeks after surgery. One patient had a positive surgical margin (33.3%). 2 patients were continent immediately after removal of the Foley catheter, 1 patient was continent 1 month postoperatively. The sexual function of 2 patients recovered within 1 month and 1 patient recovered within 3 months. The PSA reexamination was 0-0.1µg/L one month after operation.Conclusion: For patients with early localized prostate cancer, robot-assisted perineal radical prostatectomy is a safe and effective method, and has outstanding advantages in radical tumor resection and postoperative urine control.


2014 ◽  
Vol 13 (3) ◽  
pp. 18
Author(s):  
A. Wallerstedt ◽  
S. Tyritzis ◽  
T. Thorsteinsdottir ◽  
S. Carlsson ◽  
J. Stranne ◽  
...  

2004 ◽  
Vol 171 (4S) ◽  
pp. 521-521
Author(s):  
Richard E. Link ◽  
Christian P. Pavlovich ◽  
Sam B. Bhayani ◽  
Wendy Sullivan ◽  
Li-Ming Su

Urology ◽  
2003 ◽  
Vol 62 (2) ◽  
pp. 314-318 ◽  
Author(s):  
Ahmed El-Feel ◽  
John W Davis ◽  
Serdar Deger ◽  
Jan Roigas ◽  
Andreas H Wille ◽  
...  

2019 ◽  
Vol 9 (4) ◽  
Author(s):  
Tu Hoang Le ◽  
Tien Huy Nguyen

Abstract Introduction: Purpose: To evaluate the result of laparoscopic treatment for adenocarcinoma of the right colon in Viet Duc University Hospital from 2013 to 2017. Material and Methods: it’s a descriptive retrospective study. Main research criteria: operating time, rate of conversion to open surgery, intra- and postoperative complications, postoperative survival rate… Results: 127 patients with adenocarcinoma of right colon were treated by laparoscopic right colectomy. The rate of conversion to open surgery is 17,3%. Mean of duration of procedure: 138.5 ± 40.1 minutes (60 – 250). The number of removed nodes is 12.64 ± 6.23 (4 – 43). No peri-operative complications. Most of post-operative complications are surgical site infection (6,3%). Mean time until flatulence is 3.28 ± 1.16 days (2 – 6 days). Mean follow-up time is 28.5 ± 16.7 months (5.1- 61.1 months). There are 11 deaths (9.6%). Mean survival time is 55.68 ± 1.53 months. 5-year survival rate is 91,3%. Actual survival rates in 1 year, 2 years, 3 years, 4 years are 99,2%, 92,4%, 87,8%, 85,9%, respectively Conclusion: Laparoscopic surgery for treatment of adenocarcinoma of the right colon is a safe, effective procedure with low complication rates, good postoperative recovery, good oncologic outcomes and high 5-year survival rate.


2017 ◽  
pp. 107-112
Author(s):  
Duc Minh Hoang ◽  
khoa Hung Nguyen ◽  
Vinh Quy Truong ◽  
Van Binh Nguyen ◽  
Hong Duong Nguyen ◽  
...  

Purpose: To assess results of retroperitoneoscopy nephrectomy for benign non-function kidneys from June 2013 to June 2017 at Quang Tri General Hospital. Materials and Methods: The study comprised 43 patients who underwent retroperitoneoscopic nephrectomy during a 4 years period beginning from June 2013. Results: Mean age of surgery was 52.6 years (28-72 years). 23 males and 20 females. 25 patients underwent left nephrectomy; 18 underwent right nephrectomy. Retroperitoneoscopic nephrectomy were completed successfully in 38 patients (88.4%). There was 5 patients required conversion to open surgery (11.6%), all cases by poor progression. The mean operating time was 112.7 minutes (range 70 to 210), mean blood loss was 45.7 ml (range 15 to 170 ml), and mean post-operation hospital stay was 4.3 days (range 3 to 9). A total of 21.1% complications (8/38 cases), no severe complications occurred. No re-intervention was needed. No case was mortality. The indications for surgery included hydronephrosis in 19/38 cases (50.0%), atrophic kidney in 13/38 cases (34.2%) and multicystic kidney in 6/38 cases (15.8%). Conclusions: Retroperitoneoscopic nephrectomy can be performed safely and successfully with obvious advantages for benign nonfunctioning kidneys regardless of the etiology or pathogenesis. Key words: nephrectomy, kidney, benign, retroperitoneoscopy


2022 ◽  
Author(s):  
Yasukazu Nakanishi ◽  
Shunya Matsumoto ◽  
Naoya Okubo ◽  
Kenji Tanabe ◽  
Madoka Kataoka ◽  
...  

Abstract Background We assess whether short term recovery of urinary incontinence following robot-assisted laparoscopic radical prostatectomy (RARP) is associated with preoperative membranous urethral length (MUL) and position of vesico-urethral anastomosis (PVUA). Methods Clinical variables including PVUA and pre- and postoperative MUL were evaluated in 251 patients who underwent RARP from August 2019 to February 2021. Continence recovery was defined as no pad or one security liner per day assessed by patient interview at least 6 months follow-up. Univariate and multivariate logistic regression analyses were used to assess variables associated with continence recovery at 3 months after the operation. Results Continence recovery rates at 3 and 6 months were 75% and 84%, respectively. Lower BMI (<25 kg/m2) (p = 0.040), longer preoperative MUL (≥9.5mm) (p = 0.013), longer postoperative MUL (≥9mm) (p <0.001), higher PVUA (<14.5mm) (p = 0.019) and shorter operating time (<170min) (p = 0.013) were significantly associated with continence recovery at 3 months in univariate analysis. Multivariate analysis revealed that postoperative MUL (OR 3.75, 95% CI 1.90 – 7.40, p <0.001) and higher PVUA (OR 2.02, 95% CI 1.07 – 3.82, p = 0.032) were independent factors for continence recovery. Patients were divided into three groups based on the multivariate analysis, with urinary continence recovery rates found to have increased in turn with rates of 43.7% vs. 68.2% vs. 85.0% (p <0.001) at three months. Conclusions PVUA and postoperative MUL were significant factors for short term continence recovery. Preservation of urethral length might contribute to continence recovery after RARP.


BMC Urology ◽  
2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Pierluigi Bove ◽  
Valerio Iacovelli ◽  
Francesco Celestino ◽  
Francesco De Carlo ◽  
Giuseppe Vespasiani ◽  
...  

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