The Association of Shorter Interval of Biopsy-Radical Prostatectomy and Surgical Difficulty
Author(s):
Shuqiu Chen , Guiya Jiang , Ning Liu , Hua Jiang , Lijie Zhang , Chao Sun , Bin Xu , Xiaowen Zhang , Yu Yang , Jing Liu , Weidong Zhu , Ming Chen
Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Purpose
We discuss the safety and perioperative outcomes of a 2-week interval between prostate biopsy and laparoscopic radical prostatectomy (LRP).
Materials and Methods
We retrospectively reviewed the medical records of 182 patients with prostate cancer (PCa) who underwent transperitoneal LRP 2 weeks after prostate biopsy between 2012 and 2015. We evaluated the following perioperative outcomes: operative time, estimated blood loss (EBL), infection, conversion to open surgery, positive surgery margins (PSM), and complications. We also reviewed studies discussing a shorter interval between biopsy and LRP in peer-reviewed publications.
Results
The mean operative time and EBL were 100.2 min and 82.2 ml, respectively. There were no rectal injuries or conversions to open surgery, totally 19 (10.4%) patients experienced complications (Clavien-Dindo Grade I and II): fever occurred in six patients (3.3%), urinary leak in four (2.2%), incomplete paralytic ileus in four (2.2%), deep vein thrombosis in two (1.1%), and postoperative anemia in four. The average bedrest time after surgery was 2.5 days. PSM was detected in twenty-one patients (11.5%) . 167 patients (91.7%) recovered continence.Follow-up ranged from 13-37 months, the biochemical recurrence (BCR) rate was 10.4% (19/182).The seven peer-reviewed studies we reviewed that a shorter interval was safe and did not influence surgical outcomes.
Conclusion
Our study shows that a 2-week interval between biopsy and LRP is safe and does not negatively affect surgical outcomesKeywords:
Language:
English
Published:
Urology Journal, Volume:15 Issue: 6, Nov-Dec 2018
Pages:
344 to 347
magiran.com/p1906350
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