Embarking with laparoscopic radical prostatectomy and dealing with the complications and collateral problems: A single-center experience

dc.authorwosidArikan, Gurkan/AAO-7476-2021
dc.contributor.authorAkdere, Hakan
dc.contributor.authorAktoz, Tevfik
dc.contributor.authorArikan, Mehmet Gurkan
dc.contributor.authorAtakan, Irfan Huseyin
dc.contributor.authorVeneziano, Domenico
dc.contributor.authorGozen, Ali Serdar
dc.date.accessioned2024-06-12T10:58:13Z
dc.date.available2024-06-12T10:58:13Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: The aim of the present study was to report our single-center initial experience in laparoscopic radical prostatectomy (LRP) with special emphasis on the complications and collateral problems and their management. Material and methods: A total of 48 patients (mean age 64 years) underwent LRP in our institution between August 2014 and July 2018. Two surgeons completed a fellowship training program for LRP before. Mentored operations started after the first 10 cases. The patients were divided in two groups of 30 (group I) and 18 (group II) patients. Demographic, preoperative, peroperative, and postoperative data were collected prospectively. Anesthesiology and nurses' team performances, as well as problems and their management, were reviewed. Results: The demographic data for both groups (group I vs. group II) were similar. Estimated blood loss (695.5 +/- 139.23 vs. 398 +/- 339.39 mL) and intraoperative complication rates (36.66% vs. 5.55%) were significantly (p<0.05) higher in group I. Conversion to open surgery occurred in 7 (20%) patients in group I and in 1 (5.55%) patient in group II. Continence rates at 12 (83%) months were similar in both groups. Positive surgical margins were 8.33% for pT2 and 27.1% for pT3 stages. Conclusion: A validated fellowship program before starting LRP and performing the first cases under mentorship are helpful. The complication and conversion rates decrease after 30 cases in addition to the improved experience also with improved cooperation with the anesthesiologist and scrub nurse.en_US
dc.identifier.doi10.5152/tud.2019.19008
dc.identifier.endpage43en_US
dc.identifier.issn2149-3235
dc.identifier.issn2149-3057
dc.identifier.issue1en_US
dc.identifier.pmid31657697en_US
dc.identifier.scopus2-s2.0-85077694697en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage37en_US
dc.identifier.trdizinid365023en_US
dc.identifier.urihttps://doi.org/10.5152/tud.2019.19008
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/365023
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19986
dc.identifier.volume46en_US
dc.identifier.wosWOS:000505165000007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Journal Of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectComplicationsen_US
dc.subjectConversion Rateen_US
dc.subjectLaparoscopic Radical Prostatectomyen_US
dc.subjectLaparoscopy Teamen_US
dc.subjectSurgeons Experienceen_US
dc.subjectLymph-Node Dissectionen_US
dc.subjectPerioperative Complicationsen_US
dc.subjectInitial-Experienceen_US
dc.subjectRectal Injuriesen_US
dc.subjectLearning-Curveen_US
dc.subjectManagementen_US
dc.subjectCanceren_US
dc.titleEmbarking with laparoscopic radical prostatectomy and dealing with the complications and collateral problems: A single-center experienceen_US
dc.typeArticleen_US

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