Robotic-assisted laparoscopic prostatectomy in Italy: perioperative data on the first 150 patients.
Int J Med Robot
; 4(4): 381-6, 2008 Dec.
Article
en En
| MEDLINE
| ID: mdl-19035620
ABSTRACT
BACKGROUND:
In 2004 we performed the first robot-assisted laparoscopic prostatectomy (RALP) at Aosta, Italy.METHODS:
Data about our first 150 RALPs are presented.RESULTS:
Mean patient age was 65.2 (range 51-75) years; mean preoperative PSA level 7.9 (range 1.8-25.0) ng/ml. Nerve sparing was performed in 109 cases (72.7%) with lymph nodes dissection in 27 (18.0%). Operative time patients 1-50, mean 213.3 (range 185-290) min; patients 51-100, 207.3 (range 185-335) min; patients 101-150, 171.7 (range 123-270) min. Two procedures were converted to open. Mean blood loss was 235 (range 20-1000) ml with two blood transfusions. One patient was reoperated for anastomotic leakage. Four patients were treated by colostomy and rectal suture for rectal injury (n = 3) or recto-urethral fistula (n = 1). The overall complication incidence was 13.3% (20 events), while mortality was nil.CONCLUSIONS:
The incidence of complications is slightly higher than in major pilot centres but it is comparable, hence RALP also appears feasible in our italian peripheral centre.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Prostatectomía
/
Robótica
/
Pérdida de Sangre Quirúrgica
/
Laparoscopía
/
Complicaciones Intraoperatorias
Límite:
Aged
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Int J Med Robot
Año:
2008
Tipo del documento:
Article
País de afiliación:
Italia