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Acta clinica Croatica, Vol. 61. No. Supplement 3, 2022.

Original scientific paper

https://doi.org/10.20471/acc.2022.61.s3.2

Laparoscopic Radical Prostatectomy: Single Center Case Series

Luka Penezić ; Department of Urology, University Hospital Center Zagreb; University of Zagreb School of Medicine, Zagreb, Croatia
Tomislav Kuliš orcid id orcid.org/0000-0002-0895-5691 ; Department of Urology, University Hospital Center Zagreb; University of Zagreb School of Medicine, Zagreb, Croatia
Tvrtko Hudolin ; Department of Urology, University Hospital Center Zagreb; University of Zagreb School of Medicine, Zagreb, Croatia
Toni Zekulić orcid id orcid.org/0000-0002-3498-0217 ; Department of Urology, University Hospital Center Zagreb; University of Zagreb School of Medicine, Zagreb, Croatia
Hrvoje Saić ; Department of Urology, University Hospital Center Zagreb; University of Zagreb School of Medicine, Zagreb, Croatia
Željko Kaštelan ; Department of Urology, University Hospital Center Zagreb; University of Zagreb School of Medicine, Zagreb, Croatia

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Abstract

Laparoscopic radical prostatectomy (LRP) is traditionally characterized as a technically
difficult procedure with a long learning curve but it is successfully performed worldwide. The
aim of this paper was to assess the initial learning curve and clinical outcomes for LRP in our center.
We performed a retrospective study including 63 LRP cases, in the course of 22 months, performed
by 2 urologists, with no previous LRP experience. All patients were previously assessed by a multidisciplinary
team and were selected on the basis of low and intermediate risk disease attributes according
to the classification of prostate cancer risk groups of the European Association of Urology. The main
outcomes of follow-up are procedure duration, estimated blood loss, complications, positive surgical
margins, biochemical relapse and urinary continence. The median follow-up was 19.6 months. The
median procedure duration was 196.8 minutes and median blood loss 257.1 mL. Significant decrease
in both outcomes was observed when comparing first and last cases in the series. There were 5 (7.9%)
Clavien Dindo grade II complications. Undetectable prostate specific antigen (PSA) was observed in
59 (93.6%) patients, and fifty-five patients (87.3%) were continent. Following a methodical learning
approach, LRP can be safely mastered with favorable outcomes.

Keywords

Laparoscopy,; Radical Prostatectomy; Learning Curve; Case Series

Hrčak ID:

286244

URI

https://hrcak.srce.hr/286244

Publication date:

1.10.2022.

Article data in other languages: croatian

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