We assessed the feasibility of extraperitoneal laparoscopic prostatectomy in pilots in China. MATERIALS AND
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.
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.
In our experience, laparoscopic extraperitoneal adenomectomy (Millin's procedure) is feasible with minimal invasion and is a simple straightforward technique.
World journal of urology
Department of Urology, Anhui Provincial Hospital, Anhui Medical University, Lujiang Road, 230001, Hefei, Anhui province, China.
World J Urol. 10 Dec 2008
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