복강경 근치적 전립선적출술 150례의 수술 중, 수술 후 초기 합병증
Laparoscopic Radical Prostatectomy: The Intraoperative and Perioperative Complications in 150 Cases
정진우, 김준철, 황태곤, 박용현, 홍성후, 조혁진,
소속 상세정보
정진우 ( Jung Jin-Woo )
가톨릭대학교 의과대학 비뇨기과학교실
김준철 ( Kim Joon-Chul )
가톨릭대학교 의과대학 비뇨기과학교실
황태곤 ( Hwang Tae-Kon )
가톨릭대학교 의과대학 비뇨기과학교실
박용현 ( Park Yonh-Hyun )
가톨릭대학교 의과대학 비뇨기과학교실
홍성후 ( Hong Sung-Hoo )
가톨릭대학교 의과대학 비뇨기과학교실
조혁진 ( Cho Hyuk-Jin )
가톨릭대학교 의과대학 비뇨기과학교실
KMID : 0358320080490090804
Abstract
Purpose: We retrospectively evaluated the intraoperative and perioperative complications of 150 laparoscopic radical prostatectomies that were performed at our institution.
Materials and Methods: Between July 2001 and March 2007, 150 consecutive patients underwent laparoscopic radical prostatectomy. The inpatient and outpatient medical records were reviewed. We divided the patients into three groups: the first 50 patients in group I, the middle 50 patients in group II and last 50 patients in group III. The major and minor complications were evaluated in each group.
Results: The overall complication rate was 36%. The major complication rate was 7% and the minor complication rate was 29%. The major complication rate was 18% in group I, 2% in group II and 0% in group III. The minor complication rate was 48% in group I, 24% in group II and 16% in group III. The result showed that the complication rate declined with accumulating experience with laparoscopic radical prostatectomy(p＜0.05).
Conclusions: Although laparoscopic radical prostatectomy is a technically demanding procedure and it has a steep learning curve, the complication rate declined with accumulating experience with laparoscopic radical prostatectomy. The complications were acceptable because they were not severe and they were managed with little difficulty.
키워드
Laparoscopic radical prostatectomy;Complications
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