The Impact of Prostate Size in Laparoscopic Radical Prostatectomy
Large prostates can be challenging to remove during open or laparoscopic radical prostatectomy (LRP). Our objective was to critically analyse the impact of prostate volume in LRP. 400 cases of LRP were performed. Three hundred and fourteen patients had a small prostate (weight
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| Veröffentlicht in: | European urology 2005-08, Vol.48 (2), p.285-290 |
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| creator | Chang, C.M. Moon, D. Gianduzzo, T.R. Eden, C.G. |
| description | Large prostates can be challenging to remove during open or laparoscopic radical prostatectomy (LRP). Our objective was to critically analyse the impact of prostate volume in LRP.
400 cases of LRP were performed. Three hundred and fourteen patients had a small prostate (weight |
| doi_str_mv | 10.1016/j.eururo.2005.04.029 |
| format | Article |
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400 cases of LRP were performed. Three hundred and fourteen patients had a small prostate (weight <75
g) and 86 patients had a large prostate (weight ≥75
g) on final histology. The following outcomes were assessed: operative time; estimated blood loss (EBL); transfusion rate; length of hospital stay (LOS); length of catheterisation; perioperative and postoperative complications (including incontinence and erectile dysfunction); surgical margin status; and early biochemical recurrence rates.
Patients’ age, PSA, Gleason sum and clinical stage were all similar. Larger prostates were associated with a 14
minutes longer mean operating time (
p
<
0.001), but fewer positive surgical margins (
p
=
0.01). Blood loss, blood transfusion rate, length of hospital stay, length of catheterisation and complication rate were all similar in both groups.
Prostate size should not be a factor determining a patient's suitability for LRP. Further follow-up is needed to assess the effect of prostate size on long-term functional and oncological results.</description><identifier>ISSN: 0302-2838</identifier><identifier>EISSN: 1873-7560</identifier><identifier>DOI: 10.1016/j.eururo.2005.04.029</identifier><identifier>PMID: 15963634</identifier><identifier>CODEN: EUURAV</identifier><language>eng</language><publisher>Oxford: Elsevier B.V</publisher><subject>Adenocarcinoma - pathology ; Adenocarcinoma - surgery ; Adult ; Aged ; Biological and medical sciences ; Gynecology. Andrology. Obstetrics ; Humans ; Laparoscopic surgery ; Laparoscopy ; Male ; Male genital diseases ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Postoperative Complications ; Prostate - pathology ; Prostate cancer ; Prostatectomy ; Prostatectomy - methods ; Prostatic Neoplasms - pathology ; Prostatic Neoplasms - surgery ; Treatment Outcome ; Tumors ; Tumors of the urinary system ; Urinary tract. Prostate gland</subject><ispartof>European urology, 2005-08, Vol.48 (2), p.285-290</ispartof><rights>2005</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-f3abc1b483d423e012c7483db77c74bb203134ffc38bfa5f3dd97f33b57ff7a73</citedby><cites>FETCH-LOGICAL-c456t-f3abc1b483d423e012c7483db77c74bb203134ffc38bfa5f3dd97f33b57ff7a73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.eururo.2005.04.029$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16932703$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15963634$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chang, C.M.</creatorcontrib><creatorcontrib>Moon, D.</creatorcontrib><creatorcontrib>Gianduzzo, T.R.</creatorcontrib><creatorcontrib>Eden, C.G.</creatorcontrib><title>The Impact of Prostate Size in Laparoscopic Radical Prostatectomy</title><title>European urology</title><addtitle>Eur Urol</addtitle><description>Large prostates can be challenging to remove during open or laparoscopic radical prostatectomy (LRP). Our objective was to critically analyse the impact of prostate volume in LRP.
400 cases of LRP were performed. Three hundred and fourteen patients had a small prostate (weight <75
g) and 86 patients had a large prostate (weight ≥75
g) on final histology. The following outcomes were assessed: operative time; estimated blood loss (EBL); transfusion rate; length of hospital stay (LOS); length of catheterisation; perioperative and postoperative complications (including incontinence and erectile dysfunction); surgical margin status; and early biochemical recurrence rates.
Patients’ age, PSA, Gleason sum and clinical stage were all similar. Larger prostates were associated with a 14
minutes longer mean operating time (
p
<
0.001), but fewer positive surgical margins (
p
=
0.01). Blood loss, blood transfusion rate, length of hospital stay, length of catheterisation and complication rate were all similar in both groups.
Prostate size should not be a factor determining a patient's suitability for LRP. Further follow-up is needed to assess the effect of prostate size on long-term functional and oncological results.</description><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Laparoscopic surgery</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Postoperative Complications</subject><subject>Prostate - pathology</subject><subject>Prostate cancer</subject><subject>Prostatectomy</subject><subject>Prostatectomy - methods</subject><subject>Prostatic Neoplasms - pathology</subject><subject>Prostatic Neoplasms - surgery</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. Prostate gland</subject><issn>0302-2838</issn><issn>1873-7560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF1LwzAUhoMobk7_gUhv9K71pKdt2htBhh-DgaLzOqRpghnrWpNWmL_elA5351WSw3POefMQckkhokCz23WketvbJooB0giSCOLiiExpzjBkaQbHZAoIcRjnmE_ImXNrAMC0wFMyoWmRYYbJlNyvPlWwqFshu6DRwattXCc6FbybHxWYbbAUrfA12bRGBm-iMlJs_ijZNfXunJxosXHqYn_OyMfjw2r-HC5fnhbz-2UokzTrQo2ilLRMcqySGBXQWLLhUTLmL2UZA1JMtJaYl1qkGquqYBqxTJnWTDCckZtxbmubr165jtfGSbXZiK1qesezHGjuv-fBZASlj-ms0ry1phZ2xynwQR1f81EdH9RxSLhX59uu9vP7slbVoWnvygPXe0A4b0FbsZXGHbiswJjBsP9u5JS38W2U5U4atZWqMtYr41Vj_k_yC9QQjqY</recordid><startdate>20050801</startdate><enddate>20050801</enddate><creator>Chang, C.M.</creator><creator>Moon, D.</creator><creator>Gianduzzo, T.R.</creator><creator>Eden, C.G.</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050801</creationdate><title>The Impact of Prostate Size in Laparoscopic Radical Prostatectomy</title><author>Chang, C.M. ; Moon, D. ; Gianduzzo, T.R. ; Eden, C.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-f3abc1b483d423e012c7483db77c74bb203134ffc38bfa5f3dd97f33b57ff7a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adenocarcinoma - pathology</topic><topic>Adenocarcinoma - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Laparoscopic surgery</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Postoperative Complications</topic><topic>Prostate - pathology</topic><topic>Prostate cancer</topic><topic>Prostatectomy</topic><topic>Prostatectomy - methods</topic><topic>Prostatic Neoplasms - pathology</topic><topic>Prostatic Neoplasms - surgery</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chang, C.M.</creatorcontrib><creatorcontrib>Moon, D.</creatorcontrib><creatorcontrib>Gianduzzo, T.R.</creatorcontrib><creatorcontrib>Eden, C.G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chang, C.M.</au><au>Moon, D.</au><au>Gianduzzo, T.R.</au><au>Eden, C.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Prostate Size in Laparoscopic Radical Prostatectomy</atitle><jtitle>European urology</jtitle><addtitle>Eur Urol</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>48</volume><issue>2</issue><spage>285</spage><epage>290</epage><pages>285-290</pages><issn>0302-2838</issn><eissn>1873-7560</eissn><coden>EUURAV</coden><abstract>Large prostates can be challenging to remove during open or laparoscopic radical prostatectomy (LRP). Our objective was to critically analyse the impact of prostate volume in LRP.
400 cases of LRP were performed. Three hundred and fourteen patients had a small prostate (weight <75
g) and 86 patients had a large prostate (weight ≥75
g) on final histology. The following outcomes were assessed: operative time; estimated blood loss (EBL); transfusion rate; length of hospital stay (LOS); length of catheterisation; perioperative and postoperative complications (including incontinence and erectile dysfunction); surgical margin status; and early biochemical recurrence rates.
Patients’ age, PSA, Gleason sum and clinical stage were all similar. Larger prostates were associated with a 14
minutes longer mean operating time (
p
<
0.001), but fewer positive surgical margins (
p
=
0.01). Blood loss, blood transfusion rate, length of hospital stay, length of catheterisation and complication rate were all similar in both groups.
Prostate size should not be a factor determining a patient's suitability for LRP. Further follow-up is needed to assess the effect of prostate size on long-term functional and oncological results.</abstract><cop>Oxford</cop><pub>Elsevier B.V</pub><pmid>15963634</pmid><doi>10.1016/j.eururo.2005.04.029</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0302-2838 |
| ispartof | European urology, 2005-08, Vol.48 (2), p.285-290 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adenocarcinoma - pathology Adenocarcinoma - surgery Adult Aged Biological and medical sciences Gynecology. Andrology. Obstetrics Humans Laparoscopic surgery Laparoscopy Male Male genital diseases Medical sciences Middle Aged Nephrology. Urinary tract diseases Postoperative Complications Prostate - pathology Prostate cancer Prostatectomy Prostatectomy - methods Prostatic Neoplasms - pathology Prostatic Neoplasms - surgery Treatment Outcome Tumors Tumors of the urinary system Urinary tract. Prostate gland |
| title | The Impact of Prostate Size in Laparoscopic Radical Prostatectomy |
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