SciELO - Scientific Electronic Library Online

vol.60 número5Cirugías digestivas más frecuentes en Chile, excluyendo colo-rectalCirugía percutánea de la litiasis coraliforme índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados


Revista chilena de cirugía

versión On-line ISSN 0718-4026


CASTILLO C, OCTAVIO et al. Laparoscopic prostatectomy (adenomectomy). Rev Chil Cir [online]. 2008, vol.60, n.5, pp.387-392. ISSN 0718-4026.

Introduction: Transurethral resection of the prostate (TURP) remains the gold standard for surgical treatment of benign prostatic hiperplasya (BPH). However, its application is limited to low volume adenomas (< 75 ce). Simple prostatectomy allows for the surgical treatment of large adenomas. We present our initial series of 27 patients with BPH, surgically treated with extraperitoneal laparoscopic simple prostatectomy (ELSP). Materíals and Methods: Between June 2003 and June 2006, 27 patients were operated for BPH with ELSP. Median age of the series was 65.5 years. (51 a 82) Median l-PSS score was 20 points and 7 patients attended to emergency room with bladder outlet obstruction (BOO). All patients had digital rectal examination, PSA test and abdominal ultrasound to determine prostate volume. All patients had formal indication for simple prostatectomy. Demographic and surgical data were prospectively collected and retrospective analysis was performed. Results: 27 patients had ELSP with no conversión to open surgery. Median prostatic volume in final pathology was en 95.2 gr. (40 -150). Median operative time was 123 min (90-180). Median blood loss was 415 ce (50-1.500) and 4 patients required blood transfusions. Median hospital stay was 3.5 days (2-7), median catheterization period was 4.2 days (3-7). Postoperative complications were registered in 2 patients (7.4%). Conclusión: Laparoscopy offers a safe and less morbid surgical option for the treatment of BPH with formal indication of simple prostatectomy. In our experience is a feasible and reproducible technique. Accurate vascular control is mandatory.

Palabras clave : Laparoscopy; simple prostatectomy; benign prostatic hyperplasia.

        · resumen en Español     · texto en Español     · Español ( pdf )


Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons