当前位置： SCI文献检索 > EUROPEAN UROLOGY期刊下所有文献 > Oncologic outcome after laparoscopic radical prostatectomy: 10 years of experience.

Oncologic outcome after laparoscopic radical prostatectomy: 10 years of experience.

Abstract：

BACKGROUND:While the published short-term oncologic outcomes after laparoscopic radical prostatectomy (LRP) are encouraging, intermediate and long-term data are lacking. OBJECTIVE:We analyzed the oncologic outcome after LRP based on 10 yr of experience. DESIGN, SETTING, AND PARTICIPANTS:This retrospective analysis of data prospectively collected from 1998 to 2007 studies 1564 consecutive patients with clinically localized prostate cancer (cT1c-cT3a) who underwent LRP. INTERVENTION:LRP was performed by two surgeons at either L'Institut Mutualiste Montsouris (IMM) in Paris, France, or Memorial Sloan-Kettering Cancer Center (MSKCC) in New York City, USA. MEASUREMENTS:Progression of disease was defined as a prostate-specific antigen (PSA) of >or=0.1 ng/ml with confirmatory rise or initiation of secondary therapy. Patients were stratified as low, intermediate, or high risk based on the pretreatment prostate cancer nomogram progression-free probability of >90%, 89-71%, and <70%, respectively. RESULTS AND LIMITATIONS:The overall 5-yr and 8-yr probability of freedom from progression (PFP) was 78% (95% confidence interval [CI], 74-82%) and 71% (95% CI, 63-78%), respectively. For low-, intermediate-, and high-risk cancer, the 5-yr PFP was 91% (95% CI, 85-95%), 77% (95% CI, 71-82%), and 53% (95% CI, 40-65%), respectively. Surgical margins (SMs) were positive in 13% of the cases. Nodal metastases were detected in 3% of the patients after limited pelvic lymph node dissection (PLND) and in 10% after a standard PLND (p<0.001). The 3-yr PFP for node-positive patients was 49%. There were 22 overall deaths and 2 deaths from prostate cancer. CONCLUSIONS:LRP provided 5- and 8-yr cancer control in 78% and 71% of patients, respectively, with clinically localized prostate cancer and in 53% of those with high-risk cancer at 5 yr. A PLND limited to the external iliac nodal group is inadequate for detecting nodal metastases.

journal_name

Eur Urol

journal_title

European urology

authors

Touijer K,Secin FP,Cronin AM,Katz D,Bianco F,Vora K,Reuter V,Vickers AJ,Guillonneau B

doi

10.1016/j.eururo.2008.10.036

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

1014-9

issue

eissn

0302-2838

issn

1873-7560

pii

S0302-2838(08)01302-X

journal_volume

pub_type

杂志文章

在线工具

Oncologic outcome after laparoscopic radical prostatectomy: 10 years of experience.