[Radical prostatectomy. A review of our series between 1997-2003]. / Prostatectomía radical. Revisión de nuestra serie en el periodo 1997-2003.

OBJECTIVE: To evaluate the complications and results of our series of 398 radical retropubic prostatectomies as an elective treatment for clinically localized prostate cancer. PATIENTS AND METHODS: Between January 1997 and June 2003, a total of 398 radical retropubic prostatectomies have been performed. Mean age was 63.8 years (45.8-78.2), mean PSA at diagnosis 9.32 ng/ml (0.9-129.7). Mean surgical time was 141.6 minutes (70-280), and mean hospitalization was 6.75 days (2-37). RESULTS: Mean follow-up was 65.18 months. We report as peroperatory complications: rectal injury 1.8%, lymphatic leakage 0.3%, urinary fistula 5%. As delay complications: uretrovesical junction stenosis 6%. We observed 49.1% of patients with positive surgical margins. We don't report any peroperatory death. The overall survival rate is 98.5%, the cancer specific survival rate is 99.75%, and the recurrence-free survival rate is 84.97%. CONCLUSIONS: Radical retropubic prostatectomy is an excellent treatment form for patients with clinically localized prostate cancer. A strict selection of patients candidates is important to obtain good results.

Prostatectomía radical. Revisión de nuestra serie en el periodo 1997-2003 / Radical prostactectomy. A review of our serie between 1997-2003

Objetivos: Analizar los resultados y complicaciones de nuestra serie de 398 casos de prostatectomía radical retropúbica como tratamiento electivo del cáncer de próstata órgano confinado. Material y metodos: Entre enero de 1997 y junio de 2003 hemos realizado un total de 398 prostatectomías radicales. La edad media fue de 63,8 años (45,8-78,2), con una media de PSA al diagnóstico de 9,32 ng/ml (0,9-129,7). La media del tiempo quirúrgico es de 141,6 minutos (70-280), y la media de días de ingreso hospitalario de 6,75 días (2-37).Resultados: El seguimiento medio de nuestra serie ha sido de 65,18 meses. Como complicaciones peroperatorias destacamos: lesión rectal 1,8%, linforrea 0,3%, fístula urinaria 5%. Como complicaciones tardías: estenosis anastomosis uretrovesical 6%.Hemos objetivado un porcentaje de márgenes positivos del 49,1%. No hemos tenido ningún exitusperoperatorio. La supervivencia global de la serie es del 98,5%, la supervivencia cáncer específica del 99,75%, y la supervivencia libre de enfermedad del 84,97%.Conclusiones: La prostatectomía radical es una excelente opción de tratamiento en pacientes con cáncer de próstata órgano confinado. Es indispensable para obtener buenos resultados una correcta selección de los pacientes candidatos a tratamiento quirúrgico (AU)

Objetive: To evaluate the complications and results of our series of 398 radical retropubic prostatectomies as an elective treatment for clinically localized prostate cancer. Patients and methods: Between january 1997 and june 2003, a total of 398 radical retropubic prostatectomies have been performed. Mean age was 63.8 years (45.8-78.2), mean PSA at diagnosis 9.32 ng/ml (0.9-129.7). Mean surgical time was 141.6 minutes (70-280), and mean hospitalization was 6.75 days (2-37). Results: Mean follow-up was 65.18 months. We report as peroperatory complications: rectal injury 1.8%, lymphatic leakage 0.3%, urinary fistula 5%. As delay complications: uretrovesical junction stenosis 6%. We observed 49.1% of patients with positive surgical margins. We don´t report any peroperatory death. The overall survival rate is 98.5%, the cancer specific survival rate is 99.75%, and the recurrence-free survival rate is 84.97%. Conclusions: Radical retropubic prostatectomy is an excellent treatment form for patients with clinically localized prostate cancer. A strict selection of patients candidates is important to obtain good results (AU)