Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/825
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dc.contributor.authorMoon, Daniel-
dc.contributor.otherLouis-Johnsun, Mark William-
dc.contributor.otherHandmer, Marcus-
dc.contributor.otherCalopedos, Ross John-
dc.contributor.otherChabert, Charles-
dc.contributor.otherCohen, Ronald-
dc.contributor.otherGianduzzo, Troy-
dc.contributor.otherKearns, Paul-
dc.contributor.otherOoi, Jason-
dc.contributor.otherShannon, Tom-
dc.contributor.otherSofield, David-
dc.contributor.otherTan, Andrew-
dc.date.accessioned2016-10-12T05:38:26Z-
dc.date.available2016-10-12T05:38:26Z-
dc.date.issued2016-09-
dc.identifier.citationBJU Int. 2016 Sep 23.en_US
dc.identifier.issn1464-410Xen_US
dc.identifier.issn1464-410Xen_US
dc.identifier.urihttp://hdl.handle.net/11434/825-
dc.description.abstractOBJECTIVES: 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.en_US
dc.publisherJohn Wiley & Sons Ltden_US
dc.subjectLaparoscopyen_US
dc.subjectOutcomesen_US
dc.subjectProstate Canceren_US
dc.subjectProstatectomyen_US
dc.subjectLaparoscopic Radical Prostatectomyen_US
dc.subjectLRPen_US
dc.subjectFunctional Outcomesen_US
dc.subjectRobotic Assisted Radical Prostatectomyen_US
dc.subjectTreatmenten_US
dc.subjectMinimally Invasiveen_US
dc.subjectDepartment of Urology, Epworth Healthcare, Melbourne, Vic., Australiaen_US
dc.subjectThe Epworth Prostate Centre, Epworth Hospital, Victoria, Australia.en_US
dc.subjectUroRenal, Vascular Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.titleThe Australian laparoscopic non robotic radical prostatectomy experience - analysis of 2943 cases (USANZ supplement).en_US
dc.typeJournal Articleen_US
dc.identifier.doi10.1111/bju.13610en_US
dc.identifier.journaltitleBJU Internationalen_US
dc.description.pubmedurihttps://www.ncbi.nlm.nih.gov/pubmed/27659257en_US
dc.description.affiliatesDepartment of Urology, Gosford, Wyong and Gosford Private Hospitals and University of Newcastle, Gosford, NSW, Australia.en_US
dc.description.affiliatesDepartment of Urology, Pindara Private Hospital, Benowa, Qld, Australia.en_US
dc.description.affiliatesDepartment of Pathology, Uropath and University of Western Australia, Perth, WA, Australia.en_US
dc.description.affiliatesDepartment of Urology, The Wesley Hospital, Brisbane, Qld, Australia.en_US
dc.description.affiliatesDepartment of Urology, St John of God Hospital and University Hospital Barwon Health, Geelong, Vic, Australia.en_US
dc.description.affiliatesDepartment of Urology, St Vincents Private Hospital, East Melbourne, Vic, Australia.en_US
dc.description.affiliatesDepartment of Urology, Hollywood Private Hospital, Perth, WA, Australia.en_US
dc.description.affiliatesDepartment of Urology, Bethesda Hospital, Perth, WA, Australia.en_US
dc.description.affiliatesDepartment of Urology, Royal Perth Hospital, Perth, WA, Australia.en_US
dc.type.studyortrialRetrospective studiesen_US
dc.type.contenttypeTexten_US
Appears in Collections:Cancer Services
Epworth Prostate Centre
UroRenal, Vascular

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