Laparoscopic radical prostatectomy: report of initial 22 cases Bulgarian urological practice
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Дата
2008-06
Автори
Genadiev, Ts.
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Издател
Централна медицинска библиотека, МУ София / Central Medical Library - MU Sofia
Резюме
The urological laparoscopy is not widely used in Bulgaria. We report our early experience with 22 cases of laparoscopic radical prostatectomy in Bulgarian urological practice. Aim of the paper was to report and analyze our initial experience with laparoscopic radical prostatectomy for clinically localized prostatic cancer. Between March 2005 and December 2007, 22 consecutive patients underwent laparoscopic radical prostatectomy in a single urological center according to the "Montsouris technique", performed by one surgeon. The median age was 60,5 year old, the median preoperative prostate specific antigen 12 ng/ml and the median Gleason score of biopsy specimens was 6. Median operation time was 420 minutes (range 300 to 660). Median value of postoperative hemoglobin blood test was 120.5g/L (range 99 to 144 g/L). Median postoperative Foley catheterization period was 14 days (range 5 to 30). Intraoperative complications related to operation procedure were three bladder injuries, treated laparoscopically, one rectal injury and one case of paraurethral uri-noma. No conversion to open surgery or reoperation was required in all cases. Although the operation time is still longer than that of conventional open procedures, we believe that op-erative time will decrease with more experience.
Описание
Address for correspondence:
Tsvetin Tr. Genadiev
Clinic of Urology
University Hospital “Lozenetz”
1 Kozjak Str.
Sofia 1407
Bulgaria tel:0035929607669
e-mail: genadievi@abv.bg
Ключови думи
laparoscopic radical prostatectomy, initial experience, Bulgaria.
Цитирания
Genadiev, Ts. Laparoscopic radical prostatectomy: report of initial 22 cases Bulgarian urological practice - Acta Medica Bulgarica, 35, 2008, № 1, 43-46.