Türk I, Deger I S, Winkelmann B, Roigas J, Schönberger B, Loening S A
Klinik für Urologie, Universitätsklinikum Charité, Medizinische Fakultät, Humboldt-Universität zu Berlin.
Urologe A. 2001 May;40(3):199-206. doi: 10.1007/s001200050463.
Encouraged by the groups in Paris, we performed 145 laparoscopic radical prostatectomies between June 1999 and the end of November 2000. The indication for laparoscopic prostatectomy is the same as for open surgery: an organ-confined cancer. Previous abdominal surgery, transurethral resection, and/or relative adiposity are not considered to be contraindications for this laparoscopic procedure. The mean operating time was 255 min; the last 60 procedures took an average of 200 min. In no case was it necessary to convert to open surgery. Worthy of note was the low blood loss of 185 ml on average so that in 98% of the patients no blood transfusion was required. After completing the learning curve, the average indwelling catheter time was only 5.5 days. The postoperative complication rate was 11.7%, consisting mainly of minor complications. Also with regard to continence and potency, the results were representative. Postoperatively, 75%, 86%, 92%, and 93% of the patients were continent after 3, 6, 9, and 12 months, respectively. In our opinion, laparoscopic radical prostatectomy is an alternative to open prostatectomy, offering a number of advantages for the patient and surgeon as well.
在巴黎各团队的鼓舞下，我们于1999年6月至2000年11月底期间实施了145例腹腔镜根治性前列腺切除术。腹腔镜前列腺切除术的适应证与开放手术相同：器官局限性癌。既往腹部手术、经尿道切除术和/或相对肥胖并不被视为该腹腔镜手术的禁忌证。平均手术时间为255分钟；最后60例手术平均用时200分钟。无一例需要转为开放手术。值得注意的是，平均失血量仅为185毫升，因此98%的患者无需输血。完成学习曲线后，平均留置导尿管时间仅为5.5天。术后并发症发生率为11.7%，主要为轻微并发症。在控尿和性功能方面，结果也具有代表性。术后，分别有75%、86%、92%和93%的患者在3、6、9和12个月后实现控尿。我们认为，腹腔镜根治性前列腺切除术是开放前列腺切除术的一种替代方法，对患者和外科医生都有诸多优势。
