Ces Urol 2012, 16(4):222-229 | DOI: 10.48095/cccu2012037

A comparison of laparoscopic and retropubic radical prostatectomy - a single center experience

Miloš Broďák, Josef Košina, Petr Hušek, Michal Balík, Lukáš Holub, Miloslav Louda, Jaroslav Pacovský

Urologická klinika FN a LF UK, Hradec Králové

Aim:
The aim of this study was to evaluate surgical outcomes of laparoscopic radical prostatectomy and compare them to retropubic radical prostatectomy.

Methods:
A cohort of 225 patients was evaluated. All patients underwent radical prostatectomy between January 2008 and April 2010. Retropubic radical prostatectomy was performed in 125 cases and laparoscopic surgery was performed in 100 cases. Surgical results and complications were compared between the two methods. In addition, the first and the last 25 laparoscopic surgeries were compared.

Results:
The median follow up time was 14 months, the median age was 62 years, the median PSA was 9 ng/mL and the median Gleason score was 7. The median duration of surgery using the laparoscopic approach was 3 hours and 20 minutes compared to 2 hours and 30 minutes using the retropubic approach. The estimated blood loss using the laparoscopic approach was 250 ml and using the retropubic method was 400 ml.

Conclusions:
The laparoscopic method for radical prostatectomy was an equivalent alternative to the open retropubic approach. Both procedures achieved comparable oncological and functional outcomes. The blood loss was significantly lower using the laparoscopic approach. This method was less invasive and allowed for a shorter recovery period.

Keywords: laparoscopic radical prostatectomy, prostate cancer, retropubic radical prostatectomy

Received: January 4, 2012; Accepted: November 22, 2012; Published: September 1, 2012