Outcome of Laparoscopic Radical Prostatectomy: Ten Years of Maharaj Nakhon Si Thammarat Hospital Experience

Abstract

Background: Even though is no consensus on the best therapeutic capproach to the patients with clinically localized prostate cancer. Radical prostatectomy   has been gold standard worldwide. Laparoscopic radical prostatectomy (LRP) has been used as an alternative procedure with the advantages of minimal invasive surgery.  The report here is our outcome with 59 LRP.

Objective: This study was aimed to describe the outcome of laparoscopic radical prostatectomy in Maharaj Nakhon Si Thammarat Hospital and factors that related to the outcome.

Materials and Methods:  Were trospectively reviewed medical   records of 59 patients who underwent Transperitoneal laparoscopic radical prostatectomy at our hospital for clinical localized prostate cancer from 1 February 2010 to 28 February 2020.  Data relating to patient demographics, Gleason score, preoperative  PSA,  perioperative data:  blood loss, operative times, complication, length of  hospital  stay and pathological outcome. Data were analyzed using descriptive statistics.

Results: The mean age of the patients was 69 years [range 50-82 ], preoperative mean PSA  was 16.4 ng/ml .The mean operative time   was 280 min, average blood loss was 440 mL, and 10 patients received blood transfusions. Three patients had rectal injuries. No conversion to open surgery. Urethrorectal fistula was found in 2 patients. Positive margin swere reported in 6 specimen and no patient death.

Conclusions: Laparoscopic radical prostatectomy in our hospital is safe and feasible. The results show that it can reduce blood loss and reduce the duration of surgery similar to the standard institute.