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Year : 2005  |  Volume : 1  |  Issue : 4  |  Page : 196-201

Laparoscopic radical prostatectomy


Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana, USA

Correspondence Address:
Chandru P Sundaram
Director of Minimally Invasive Surgery, Department of Urology, Indiana University School of Medicine, 535 N. Barnhill Dr., Suite 420, Indianapolis
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.19267

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Millions of men are diagnosed annually with prostate cancer worldwide. With the advent of PSA screening, there has been a shift in the detection of early prostate cancer, and there are increased numbers of men with asymptomatic, organ confined disease. Laparoscopic radical prostatectomy is the latest, well accepted treatment that patients can select. We review the surgical technique, and oncologic and functional outcomes of the most current, large series of laparoscopic radical prostatectomy published in English. Positive margin rates range from 2.1-6.9% for pT2a, 9.9-20.6% for pT2b, 24.5-42.3% for pT3a, and 22.6-54.5% for pT3b. Potency rates after bilateral nerve sparing laparoscopic radical prostatectomy range from 47.1 to 67%. Continence rates at 12 months range from 83.6 to 92%.






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© 2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04