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Information Journal Paper

Title

Laparoscopic Radical Prostatectomy after Previous Transurethral Resection of the Prostate in Clinical T1a and T1b Prostate Cancer: A Matched-Pair Analysis

Pages

  2154-2159

Abstract

 Purpose: To analyze and compare surgical, oncological and functional outcomes of laparoscopic radical prostatectomy (LRP) in patients with and without previous transurethral resection of the prostate (TURP). Materials and methods: In total, 785 men underwent LRP at our institution from January 2002 to December 2012. TURP had been performed previously in 35 of these patients (TURP group). A matched-pair analysis identified 35 additional men without previous TURP who exhibited equivalent clinicopathological characteristics to serve as a control group. Perioperative complications and surgical, functional, and oncological outcomes were compared between the two groups. Results: The groups were similar in age, body mass index, serum prostate-specific antigen level, and pre-and post-operative Gleason scores. Patients in the TURP group had greater blood loss (231 vs. 139 mL), longer operative times (262 vs. 213 min), a greater probability of transfusion (8. 6% vs. 0%), and a higher rate of complications (37. 1% vs. 11. 4%) compared with the control group. The positive surgical margin rate was higher in the TURP group, but this difference was not statistically significant (P =. 179). The continence rates at one year after surgery were similar, but a lower continence rate was identified in the TURP group (42. 9% vs. 68. 6%) at 3 months. Biochemical recurrence developed in 17. 1% and 11. 4% of the patients in the TURP and control groups, respectively, after a mean follow-up of 57. 6 months. Conclusion: LRP is feasible but challenging after TURP. LRP entails longer operating times, greater blood loss, higher complication rates and worse short-term continence outcomes. However, the radical nature of this cancer surgery is not compromised.

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    APA: Copy

    YANG, YI, LUO, YUN, HOU, GUO LIANG, Huang, Qun Xiong, Lu, Min Hua, Si tu, Jie, & Gao, Xin. (2015). Laparoscopic Radical Prostatectomy after Previous Transurethral Resection of the Prostate in Clinical T1a and T1b Prostate Cancer: A Matched-Pair Analysis. UROLOGY JOURNAL, 12(3), 2154-2159. SID. https://sid.ir/paper/271043/en

    Vancouver: Copy

    YANG YI, LUO YUN, HOU GUO LIANG, Huang Qun Xiong, Lu Min Hua, Si tu Jie, Gao Xin. Laparoscopic Radical Prostatectomy after Previous Transurethral Resection of the Prostate in Clinical T1a and T1b Prostate Cancer: A Matched-Pair Analysis. UROLOGY JOURNAL[Internet]. 2015;12(3):2154-2159. Available from: https://sid.ir/paper/271043/en

    IEEE: Copy

    YI YANG, YUN LUO, GUO LIANG HOU, Qun Xiong Huang, Min Hua Lu, Jie Si tu, and Xin Gao, “Laparoscopic Radical Prostatectomy after Previous Transurethral Resection of the Prostate in Clinical T1a and T1b Prostate Cancer: A Matched-Pair Analysis,” UROLOGY JOURNAL, vol. 12, no. 3, pp. 2154–2159, 2015, [Online]. Available: https://sid.ir/paper/271043/en

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