Abstract
Objectives
We assessed the feasibility of extraperitoneal laparoscopic prostatectomy in pilots in China.
Materials and methods
Extraperitoneal laparoscopic retropubic prostatectomy has been performed in 45 patients with prostatic weight more than 60 g between May 2005 and May 2008. The laparoscopic approach was standard in all cases as follows: creation of a preperitoneal workspace, haemostatic control of lateral venous vesicoprostatic pedicles, transversal anterior incision of the prostate capsule, prostatic adenomectomy and retrieval of the specimen.
Results
The average prostate resected weight was 78.2 ± 16.3 g. Mean operative time was 105.4 ± 26.5 min. Conversion to open prostatectomy was not required. The transfusion was essential in three cases. During a 6 months follow-up period for 40 cases, the mean score of IPSS decreased from 25.5 ± 2.4 to 6.2 ± 2.1, Q max increased from 6.1 ± 2.8 to 18.7 ± 3.4 ml/s. None of the patients presented with urinary incontinence.
Conclusions
In our experience, laparoscopic extraperitoneal adenomectomy (Millin’s procedure) is feasible with minimal invasion and is a simple straightforward technique.
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References
Chang CM, Moon D, Gianduzzo TR, Eden CG (2005) The impact of prostate size in laparoscopic radical prostatectomy. Eur Urol 48:285–290. doi:10.1016/j.eururo.2005.04.029
Vela-Navarrete R, Gonzalez-Enguita C, Garcia-Cardoso JV, Manzarbeitia F, Sarasa-Corral JL, Granizo JJ (2005) The impact of medical therapy on surgery for benign prostatic hyperplasia: a study comparing changes in a decade. BJU Int 96:1045–1048. doi:10.1111/j.1464-410X.2005.05735.x
de la Rosette JJ, Alivizatos G, Madersbacher S, Perachino M, Thomas D, Desgrandchamps F, de Wildt M (2001) EAU Guidelines on benign prostatic hyperplasia (BPH). Eur Urol 40:256–263. doi:10.1159/000049784
Mebust WK, Holtgrewe HL, Cockett AT, Peters PC (2002) Transurethral prostatectomy: immediate and postoperative complications. J Urol 167:5–9. doi:10.1016/S0022-5347(05)65370-0
Serretta V, Morgia G, Fondacaro L, Curto G, Lo bianco A, Pirritano D (2002) Open prostatectomy for benign prostatic enlargement in southern Europe in the late 1990s: a contemporary series of 1800 interventions. Urology 60:623–627. doi:10.1016/S0090-4295(02)01860-5
Kuntz RM, Lehrich K (2002) Transurethral holmium laser enucleation versus transvesical open enucleation for prostate adenoma greater than 100 gm. J Urol 168:1465–1469. doi:10.1016/S0022-5347(05)64475-8
Tooher R, Swindle P, Woo H, Miller J, Maddern G (2006) Laparoscopic radical prostatectomy for localized prostate cancer: a systematic review of comparative studies. J Urol 175:2011–2017. doi:10.1016/S0022-5347(06)00265-5
Mariano MB, Tefilli MV, Graziottin TM, Morales CM, Goldraich IH (2006) Laparoscopic prostatectomy for benign prostatic hyperplasia—a six-year experience. Eur Urol 49:127–131. doi:10.1016/j.eururo.2005.09.018
van Velthoven R, Peltier A, Laguna MP, Piechaud T (2004) Laparoscopic extraperitoneal adenomectomy (Millin): pilot study on feasibility. Eur Urol 45:103–109. doi:10.1016/j.eururo.2003.07.002
Nadler RB, Blunt LW Jr, User HM, Vallancien G (2004) Preperitoneal laparoscopic simple prostatectomy. Urology 63:778–779. doi:10.1016/j.urology.2003.12.021
Mariano MB, Graziottin TM, Tefilli MV (2002) Laparoscopic prostatectomy with vascular control for benign prostatic hyperplasia. J Urol 167:2528–2529. doi:10.1016/S0022-5347(05)65025-2
Rey D, Ducarme G, Hoepffner JL, Staerman F (2005) Laparoscopic adenectomy: a novel technique for managing benign prostatic hyperplasia. BJU Int 95:676–678. doi:10.1111/j.1464-410X.2005.05361.x
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Zhou, LY., Xiao, J., Chen, H. et al. Extraperitoneal laparoscopic adenomectomy for benign prostatic hyperplasia. World J Urol 27, 385–387 (2009). https://doi.org/10.1007/s00345-008-0359-8
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DOI: https://doi.org/10.1007/s00345-008-0359-8