Document Detail

Laparoscopic radical prostatectomy--the experience of the German Laparoscopic Working Group.
MedLine Citation:
PMID:  16337330     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To present the current status of laparoscopic radical prostatectomy (LRP) in Germany, Austria and Switzerland with respect to transferability, learning curve, and outcome. MATERIAL AND METHODS: The data of 5824 patients who underwent LRP in 18 centers by 50 urologists from March 1999 to August 2004 were analyzed retrospectively. Three centers performed more than 500, and six more than 250 cases. A transperitoneal descending technique with was used in 2701, a transperitoneal ascending in 1234, an extraperitoneal descending in 1814, and an extraperitoneal ascending modification in 75 cases. Specimen showed pT2 in 3535, pT3a in 1555, pT3b in 623, and pT4 in 111 cases. RESULTS: Mean operating time averaged 211 (131-292) minutes, with shorter duration of the extraperitoneal descending technique. Conversion to open surgery averaged 2.4 (0-14.1) %. Re-intervention rate amounted to 2.7 (0.3-7.7) %. Complication rate averaged 8.9 (1.8-10.8) % including bleeding (0.3-2.5%) and rectal lesion (1.5-2.5%). The rate of positive margins was 10.6 (3.2-18) % for pT2- and 32.7 (20-38.5) % for pT3a-tumors Continence after 12 months was 84.9 (72-94) %. Data about potency (7 centers) revealed 52.5 (35-67) % full erections following bilateral nerve preservation. 5 year-PSA recurrence rate (3 centers) was 8.6 (4-15.3) % for pT2-tumors and 17.5 (15-20.6) % for pT3a-stages. CONCLUSIONS: The results confirm the efficacy of the training program with safe transfer of LRP (i.e. low complication rate), however including all known problems of a retrospective study.
Jens Rassweiler; Jens Stolzenburg; Tullio Sulser; Serdar Deger; Jürgen Zumbé; Georg Hofmockel; Hubert John; Günther Janetschek; Jean-Luc Fehr; Martin Hatzinger; Michael Probst; Karl-Heinz Rothenberger; Vassilis Poulakis; Michael Truss; Gralf Popken; Jens Westphal; Uwe Alles; Paolo Fornara
Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2005-11-02
Journal Detail:
Title:  European urology     Volume:  49     ISSN:  0302-2838     ISO Abbreviation:  Eur. Urol.     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2005-12-19     Completed Date:  2006-05-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7512719     Medline TA:  Eur Urol     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  113-9     Citation Subset:  IM    
Department of Urology, SLK Kliniken Heilbronn, University of Heidelberg, Am Gesundbrunnen 20, D-77074 Heilbronn, Germany.
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MeSH Terms
Aged, 80 and over
Middle Aged
Prostatectomy / methods*
Prostatic Neoplasms / surgery*
Retrospective Studies

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