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Title: Laparoscopic radical prostatectomy: Perioperative outcomes and morbidity of 559 consecutive cases in Siriraj hospital, Thailand
Authors: Buncha Thiptirapong
Sunai Leewansangtong
Chaiyong Nualyong
Sittiporn Srinualnad
Tawatchai Taweemonkongsap
Bansithi Chaiyaprasithi
Teeraporn Amornvesukit
Kittipong Phinthusophon
Siros Jitpraphai
Phisaiphun Wattayang
Phichaya Sujijantararat
Suchai Soontrapa
Mahidol University
Keywords: Medicine
Issue Date: 1-Jun-2011
Citation: Journal of the Medical Association of Thailand. Vol.94, No.6 (2011), 693-698
Abstract: Objective: To evaluate perioperative outcomes and morbidity of laparoscopic radical prostatectomy in Siriraj Hospital during a 5-year experience. Material and Method: Five hundred fifty nine patients who underwent laparoscopic radical prostatectomy (LRP) by seven surgeons at Siriraj Hospital between September 2004 and September 2009 were included in the study. Data of perioperative results and postoperative parameters were retrospectively evaluated. Results: Mean operative time was 257 minutes SD 75 (range 125 to 680 min). The mean operative time of the first 100 cases was significantly higher than of the last 100 cases (307 ml/min SD 95 versus 223 ml/min SD 56; p-value = 0.001). Mean estimated blood loss was 779 ml SD 607 (range 40 to 6,000 ml). Of 559 patients, 148 patients (26.5%) had blood transfusions. The blood transfusion rate in the first 100 cases was significantly higher than those of the last 100 cases (36.5% versus 15%; p-value = 0.016). The median duration of catheterization time was 8 days. The mean time of drain insertion was 4.2 days SD 1.8 (range 2 to 18 days) postoperatively. Hospital stay was 8.8 days SD 7.6 (range 3 to 149 days). Overall perioperative complications rate was 17.1%. Of these patients, 13.4% were minor complication (Clavien 1, 2) and 3.7% were major complication (Clavien 3, 4). There were no mortalities. Late complication rate was 2.1%, which most of them were stricture of anastomosis. Conclusion: Perioperative outcomes and morbidity of LRP in a 5-year period were acceptable. Laparoscopic radical prostatectomy is technically demanding with an initially longer operative time and higher blood transfusion rate. The learning curve of the surgical team is needed to achieve good results.
ISSN: 01252208
Appears in Collections:Scopus 2011-2015

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