| Laparoscopic pelvic lymph node dissection, laparoscopically assisted seminal vesicle mobilization, and total perineal prostatectomy versus radical retropubic prostatectomy for prostate cancer. | |
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MedLine Citation:
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PMID: 7538244 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The outcomes of patients with prostate cancer who were candidates for radical prostatectomy were compared with patients who underwent either: (1) radical retropubic prostatectomy (RRP); or (2) laparoscopic pelvic lymph node dissection, laparoscopically assisted seminal vesicle mobilization, and total perineal prostatectomy (LN-SV-TPP). METHODS: The staging, surgical, and early postoperative characteristics of 10 consecutive patients treated by RRP were compared with 12 consecutive patients who underwent LN-SV-TPP. RESULTS: Patients who underwent LN-SV-TPP versus RRP had respective median blood loss of 450 versus 1250 cc (P = 0.001), median anesthesia time of 330 versus 287.5 minutes (P = 0.05), median surgical time of 237.5 versus 237.5 minutes (P = 0.6), median units transfused of 0 versus 1 (P = 0.05), median time to ambulation of 1 versus 2 days (P = 0.002), median time to oral intake of 1 versus 3.5 days (P < 0.001), median hospital stay of 3 versus 6 days (P < 0.001), and median morphine requirements of 44 versus 119 mg (P < 0.001). CONCLUSIONS: LN-SV-TPP is less morbid than RRP concerning blood loss, blood transfusions, pain, and postoperative recovery. Compared with LN-SV-TPP, RRP is faster and is particularly indicated for ease of performing a nerve-sparing radical prostatectomy. |
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Authors:
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J M Teichman; P K Reddy; J C Hulbert |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: Urology Volume: 45 ISSN: 0090-4295 ISO Abbreviation: Urology Publication Date: 1995 May |
Date Detail:
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Created Date: 1995-06-12 Completed Date: 1995-06-12 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 823-30 Citation Subset: IM |
Affiliation:
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Department of Urology, University of Minnesota Hospital and Clinic, Minneapolis, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Biopsy Blood Loss, Surgical Follow-Up Studies Humans Laparoscopy / methods* Lymph Node Excision / methods* Lymphatic Metastasis Male Middle Aged Neoplasm Invasiveness Neoplasm Staging Pelvis Postoperative Care Postoperative Complications / epidemiology Prostate-Specific Antigen / blood Prostatectomy / methods* Prostatic Neoplasms / blood, pathology, surgery* Seminal Vesicles / pathology, surgery* Time Factors |
| Chemical | |
Reg. No./Substance:
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EC 3.4.21.77/Prostate-Specific Antigen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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