https://doi.org/10.4081/aiua.2021.3.268

Oncological and functional outcomes of extraperitoneal laparoscopic radical prostatectomy: An 18-years, single-center experience

Vol. 93 No. 3 (2021)
Submitted: May 27, 2021
Accepted: June 27, 2021
Published: September 30, 2021
Prostate cancer, Radical prostatectomy, Laparoscopic prostatectomy, Laparoscopy, Extraperitoneal prostatectomy
Abstract Views: 1104
PDF: 487
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Authors

Francesco Saverio Grossi
grossifs@libero.it
https://orcid.org/0000-0003-2985-6526
Urology Unit, S.S. Annunziata Hospital, Taranto, Italy.
Emanuele Utano
Urology Unit, S.S. Annunziata Hospital, Taranto, Italy.
Paolo Minafra
Urology Unit, S.S. Annunziata Hospital, Taranto, Italy.
Pier Paolo Prontera
Urology Unit, S.S. Annunziata Hospital, Taranto, Italy.
Francesco Schiralli
Urology Unit, S.S. Annunziata Hospital, Taranto, Italy.
Antonio De Cillis
Urology Unit, S.S. Annunziata Hospital, Taranto, Italy.
Evangelista Martinelli
Urology Unit, S.S. Annunziata Hospital, Taranto, Italy.
Marco Lattarulo
Urology Unit, S.S. Annunziata Hospital, Taranto, Italy.
Meri Luka
Urology Unit, S.S. Annunziata Hospital, Taranto, Italy.
Antonio Carrieri
Urology Unit, S.S. Annunziata Hospital, Taranto, Italy.
Angelo D’Elia
Urology Unit, S.S. Annunziata Hospital, Taranto, Italy.

Objective: To present a retrospective analysis on the oncological and functional outcomes of a single-center experience on a large series of extraperitoneal laparoscopic radical prostatectomies (eLRP) with an extended follow-up.
Materials and methods: Herein we present a retrospective review of patients who underwent eLRP. Oncological and functional follow-up data were collected by means of outpatient visits and telephone interviews, assessing overall mortality and biochemical recurrence-free survival. Patients with clinical T4 stage prostate cancer (PCa), previous surgery for benign prostatic hyperplasia (BPH), previous androgen deprivation, radiotherapy, concomitant chemotherapy and/or experimental therapies, and with insufficient follow-up data were excluded. Preoperative data recorded were age, body mass index, ultrasound prostate volume, preoperative PSA and clinical stage of PCa. Operative data (operative time, nerve sparing technique and any perioperative complication) and pathological findings were obtained by consulting the surgical and pathological reports. Oncological and functional follow-up were collected during follow-up visits and telephone interview.
Results: Between January 2001 and December 2019, overall 938 eLRP were performed at our Institution. The median follow-up was 132 months. 69.7% of the patients had complete dataset. The estimated overall biochemical recurrence (BCR)-free survival was 71.4% at 5 years and 58.9% at 10 years. Cancer specific survival was 84,5%. Erectile function was preserved in the most of patients as postoperative IIEF-5 score within 12 months after surgery was > 12 in the 82.1%. About the urinary incontinence, 0.76% of the patients presented severe incontinence (continued and persistent loss of urine) and 7.0% were mildly incontinent (using up to one pad per day).
Conclusions; eLRP has shown oncological and functional results comparable to other minimally invasive techniques and to open radical prostatectomy (ORP), with favorable perioperative outcomes than the open technique and a reduced complication rate.

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How to Cite

grossi, francesco saverio, Utano, E., Minafra, P., Prontera, P. P. ., Schiralli, F. ., De Cillis, A. ., Martinelli, E. ., Lattarulo, M. ., Luka, M. ., Carrieri, A. ., & D’Elia, A. . (2021). Oncological and functional outcomes of extraperitoneal laparoscopic radical prostatectomy: An 18-years, single-center experience. Archivio Italiano Di Urologia E Andrologia, 93(3), 268–273. https://doi.org/10.4081/aiua.2021.3.268

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