Resumen

CASTILLO C, OCTAVIO et al. Extraperitoneal laparoscopic radical prostatectomy . Rev Chil Cir [online]. 2006, vol.58, n.1, pp.40-44. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262006000100010.

Background: The extraperitoenal approach for radical prostatectomy is a minimally invasive technique with a low incidence of complications. Aim: To report a series of patients with localized prostate cancer, managed with extraperitoneal laparoscopic radical prostatectomy (ELRP). Patients and Methods: Report of 106 patients (age range 40-78 years)successively subjected to ELRP between May 2002 and January 2004. Results: Preoperative prostate specific antigen ranged from 1.6 to 66.8 ng/ml. Mean operative time was 156 minutes (range: 80-390 minutes). Mean blood loss was 577 mL and transfusion rate was 26%. Analgesics were used in the first 36 hours after surgical procedure and opiates were not required. Mean hospital stay was 3 days and average urinary catheter use was 7 days. The most common complications were urinary retention in 6.6% , rectal lesions in 5.6%, vesico-urethral anastomosis stricture in 5.6%, vesico-rectal fistula in 2.8% and vesico-urethral anastomosis leak in 2.8% of patients. Conclusions: ELRP is a well tolerated procedure, with good operative results in terms of postoperative pain and hospital stay. However, when complications occur, they tend to be more severe than in open surgery

Palabras clave : Prostate cancer; laparoscopy; radical prostatectomy.