Experience of 100 Laparoscopic Radical Prostatectomies Performed by a Single Surgeon: An Analysis of Surgical and Functional Outcomes
소병국, 최재덕, 이서연, 김홍숙, 박서용, 서성일,
소속 상세정보
소병국 ( So Byung-Kuk )
Sungkyunkwan University School of Medicine Department of Urology
최재덕 ( Choi Jae-Duck )
Dongguk University School of Medicine Dongguk Medical Center
이서연 ( Lee Seo-Yeon )
Sungkyunkwan University School of Medicine Department of Urology
김홍숙 ( Kim Hong-Suk )
Sungkyunkwan University School of Medicine Department of Urology
박서용 ( Park Seo-Yong )
Sungkyunkwan University School of Medicine Department of Urology
서성일 ( Seo Seong-Il )
Sungkyunkwan University School of Medicine Department of Urology
KMID : 0358320110520080517
Abstract
Purpose: This study was conducted to perform a comparative analysis of the efficacy and the safety of conventional transurethral resection of prostate (TUR-P), transurethral resection in saline (TURIS) and TURIS-plasma vaporization (TURIS-V) when performed by a single surgeon for benign prostate hyperplasia (BPH).
Materials and Methods: The clinical data of 73 consecutive men who underwent conventional TUR-P (39), TURIS (19) or TURIS-V (15) for BPH was retrospectively analyzed. All procedures were carried out by single surgeon between October 2007 and April 2010. Patients were assessed preoperatively and perioperatively, and were followed at 1, 3 and 6 months postoperatively. Patient baseline characteristics, perioperative data and postoperative outcomes were compared, and major complications were recorded.
Results: In all groups, significant improvements in subjective and objective voiding parameters were achieved and were sustained throughout follow-up. TURIS-V had the shortest operation time compared with conventional TUR-P and TURIS (P=0.211). TURIS-V significantly decreased procedural irrigation fluid volume, postoperative irrigation duration, catheter duration and hospital stay compared with conventional TUR-P and TURIS. There were no significant differences between groups in hemoglobin levels and serum sodium levels before and after the operations. There were three transfusions and four clot retentions in the TUR-P group, and one transfusion and one clot retention in the TURIS group. The TURIS-V group had no complications.
Conclusions: TURIS and TURIS-V were effective for the surgical treatment of BPH in addition to conventional TUR-P. TURIS-V was superior to conventional TUR-P and TURIS in terms of safety.
키워드
Laparoscopy; Prostatectomy; Prostate neoplasms; Urinary incontinence
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