Laparoscopic radical prostatectomy : initial experience : about two cases

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Published Apr 4, 2011
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Vol. 89 No. 4 (2011): Issue Apr 2011

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Riadh Zribi
Faouzi Chebbi
Department of Surgery
Khaled Bacha
Amin Bouker

Abstract

Background: Laparoscopic radical prostatectomy was a major breakthrough in the treatment of localized prostate cancer.
Aim: To report the first two laparoscopic radical prostatectomies performed in Tunisia.
Cases report: The two patients are aged 57 and 66 and were suffering from localized prostate cancer. We first tested the transperitoneal and under-peritoneal paths. We then used an anterogradic surgery technique with preservation of the bladder-neck, extra-facial dissection of neuro-vascular bandles and vesicourethral running anastomosis. The two procedures lasted 435 and 305 minutes. We did not have any conversion nor blood transfusion. Post-operatory situation was simple. The two patients were kept in clinic for 4 days and the trans-urethral catheter was removed 7 days following the surgery. The anatomo-pathologic study finds a negative surgical margins for both patients. 3 months later, both patients are continents. Only one of them showed an erection with phosphodieseterase type 5 inhibitors. The total PSA is indetectable.
Conclusion: Laparoscopic radical prostatectomy for localized prostate cancer is a technique that has proven its effectiveness since 10 years at least.

Keywords:

Radical prostatectomy, laparoscopic prostatectomy, prostate cancer, laparoscopy

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