Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2012 Oct;28(10):550-4. doi: 10.1016/j.kjms.2012.04.018. Epub 2012 Aug 28.
Laparoscopic radical prostatectomy (LRP) is a demanding procedure that requires surgical skill, a long learning curve and significant laparoscopic expertise. We report herein our initial experience with 41 laparoscopic radical prostatectomies to assess all perioperative complications in our initial 5-year experience. We reviewed retrospectively the case records of 41 patients who underwent laparoscopic radical prostatectomy for clinically localized prostate cancer from 2005 to 2010 at our institution. All abnormal symptoms were developed during the 30 days after the operation. Complications were noted as well as their severity according to the Clavien grading system. No conversion to open surgery was necessary in all cases. The median postoperative hospital stay was 10 days (range 9-16). The median duration of bladder catheterization was 8 days (range 7-35). There was no case of multiple-organ dysfunction or death. Minor complications constituted 82.6% of all complications. The incidence of severe complications was 17.4%. LRP displayed some advantages over open surgery in the perioperative period. Our complication rates were significantly higher than those indicated in the series previously reported. We found that most complications occurred in the first 30 patients who underwent LRP. We suggest that the surgeons should pay more attention to the difficulties of the procedure.
腹腔镜前列腺癌根治术（LRP）是一项高要求的手术，需要手术技巧、长期的学习曲线和显著的腹腔镜专业知识。我们在此报告了我们在最初的 5 年经验中，对 41 例腹腔镜前列腺癌根治术的初步经验，以评估所有围手术期并发症。我们回顾性分析了 2005 年至 2010 年间在我院接受腹腔镜前列腺癌根治术治疗局限性前列腺癌的 41 例患者的病例记录。所有异常症状均在术后 30 天内出现。根据 Clavien 分级系统记录并发症及其严重程度。所有病例均无需转为开放性手术。术后中位住院时间为 10 天（范围 9-16 天）。中位导尿管留置时间为 8 天（范围 7-35 天）。无多器官功能障碍或死亡病例。轻微并发症占所有并发症的 82.6%。严重并发症的发生率为 17.4%。LRP 在围手术期显示出一些优于开放性手术的优点。我们的并发症发生率明显高于先前报道的系列研究。我们发现，大多数并发症发生在接受 LRP 的前 30 例患者中。我们建议外科医生应更加注意手术的难度。
