Laparoscopic radical prostatectomy : initial experience : about two cases
Keywords:
Radical prostatectomy, laparoscopic prostatectomy, prostate cancer, laparoscopyAbstract
Background: Laparoscopic radical prostatectomy was a major breakthrough in the treatment of localized prostate cancer.
Aim: To report the first two laparoscopic radical prostatectomies performed in Tunisia.
Cases report: The two patients are aged 57 and 66 and were suffering from localized prostate cancer. We first tested the transperitoneal and under-peritoneal paths. We then used an anterogradic surgery technique with preservation of the bladder-neck, extra-facial dissection of neuro-vascular bandles and vesicourethral running anastomosis. The two procedures lasted 435 and 305 minutes. We did not have any conversion nor blood transfusion. Post-operatory situation was simple. The two patients were kept in clinic for 4 days and the trans-urethral catheter was removed 7 days following the surgery. The anatomo-pathologic study finds a negative surgical margins for both patients. 3 months later, both patients are continents. Only one of them showed an erection with phosphodieseterase type 5 inhibitors. The total PSA is indetectable.
Conclusion: Laparoscopic radical prostatectomy for localized prostate cancer is a technique that has proven its effectiveness since 10 years at least.
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References
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