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Title: The Australian laparoscopic non robotic radical prostatectomy experience - analysis of 2943 cases (USANZ supplement).
Epworth Authors: Moon, Daniel
Other Authors: Louis-Johnsun, Mark William
Handmer, Marcus
Calopedos, Ross John
Chabert, Charles
Cohen, Ronald
Gianduzzo, Troy
Kearns, Paul
Ooi, Jason
Shannon, Tom
Sofield, David
Tan, Andrew
Keywords: Laparoscopy
Prostate Cancer
Laparoscopic Radical Prostatectomy
Functional Outcomes
Robotic Assisted Radical Prostatectomy
Minimally Invasive
Department of Urology, Epworth Healthcare, Melbourne, Vic., Australia
The Epworth Prostate Centre, Epworth Hospital, Victoria, Australia.
UroRenal, Vascular Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Sep-2016
Publisher: John Wiley & Sons Ltd
Citation: BJU Int. 2016 Sep 23.
Abstract: OBJECTIVES: To analyse the Australian experience of high-volume Fellowship-trained Laparoscopic Radical Prostatectomy (LRP) surgeons. MATERIALS AND METHODS: 2943 LRP cases were performed by nine Australian surgeons. The inclusion criteria were a prospectively collected database with a minimum of 100 consecutive LRP cases. The surgeons' LRP experience commenced at various times from July 2003 to September 2009. Data were analysed for demographic, peri-operative, oncological and functional outcomes. RESULTS: The mean age of patients were 61.5 years and mean preoperative PSA 7.4 ng/ml. Mean operating time was 168 minutes with conversion to open surgery in 0.5% and a blood transfusion rate of 1.1%. Overall mean length of stay was 2.5 days. 73.6% of pathological specimens were pT2 and 86.3% had Gleason Score >7. Overall positive surgical margins (PSM) occurred in 15.9% with pT2 PSM 9.8%, pT3a PSM 30.8% and pT3b PSM 39.2%. Mean urinary continence at 12 months was 91.4% (data available from five surgeons). Mean 12 months potency after bilateral nerve spare was 47.2% (data available from four surgeons). Biochemical recurrence occurred in 10.6% (mean follow up 17 months). CONCLUSION: The Australian experience of Fellowship trained surgeons performing LRP demonstrates favourable peri-operative, oncological and functional outcomes in comparison to published data for open, laparoscopic and robotic assisted radical prostatectomy. In our Australian centres, LRP remains an acceptable minimally invasive surgical treatment for prostate cancer despite the increasing use of robotic assisted surgery.
DOI: 10.1111/bju.13610
PubMed URL:
ISSN: 1464-410X
Journal Title: BJU International
Type: Journal Article
Affiliated Organisations: Department of Urology, Gosford, Wyong and Gosford Private Hospitals and University of Newcastle, Gosford, NSW, Australia.
Department of Urology, Pindara Private Hospital, Benowa, Qld, Australia.
Department of Pathology, Uropath and University of Western Australia, Perth, WA, Australia.
Department of Urology, The Wesley Hospital, Brisbane, Qld, Australia.
Department of Urology, St John of God Hospital and University Hospital Barwon Health, Geelong, Vic, Australia.
Department of Urology, St Vincents Private Hospital, East Melbourne, Vic, Australia.
Department of Urology, Hollywood Private Hospital, Perth, WA, Australia.
Department of Urology, Bethesda Hospital, Perth, WA, Australia.
Department of Urology, Royal Perth Hospital, Perth, WA, Australia.
Type of Clinical Study or Trial: Retrospective studies
Appears in Collections:Cancer Services
UroRenal, Vascular
Epworth Prostate Centre

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