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  • Laparoskopska radikalna prostatektomija = Laparoscopic radical prostatectomy
    Zupančič, Marko, 26.5.1960- ...
    Background. Our purpose was to present our experiences with new method of the radical prostatectomy and to compare our results with published in the literature and also with our classical retropubic ... radical prostatectomy results. Methods. In the paper, we analyse our 9 patients with mean age 61.1 years, range 55-71, who underwent transabdominal laparoscopic radical prostatectomy between June and November 1999. Laparoscopic procedure was performed entirely in 7 patients, in 2 patients conversion was necessary, one patient we had to reoperate because of rectal wall injury. Preoperative PSA level was between 5.50 and 14.95 ng/ml, estimate clinical stage was T2. Results. The median operating time in 7 complete laparoscopic procedures was 270 minutes, including times for pelvic lymph node dissection performed in 2 cases. All patients were transfused with an average of 1000 ml of packed red cells. Postoperative vesical catheterisation in 7 patients lasted an average of 6.14 days, 2 patients left hospital with the catheter. Median postoperativehospitalisation was 7.7 days. The pathohistological results were as follows: 2 patients (22%) had a T2a cancer, 1 patient (11 %) had a T2b and 6 patients (67%) had a T2c cancer. Gleason score was between 5 and 7. Surgicalmargins were negative in 7patients (78%). Conclusions. Our results with laparoscopic radical prostatectomy are comparable with those published inthe literature. We believe that laparoscopic approach makes possible much more precise dissection and improves the functional results of radical prostatectomy, mostly continence and potency. Regarding well known learning curve in laparoscopic surgery, we are convinced in significant reduction of the operatirag time.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 69, št. 5, maj 2000, str. 329-331)
    Vrsta gradiva - članek, sestavni del
    Leto - 2000
    Jezik - slovenski
    COBISS.SI-ID - 11629785

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