Özet:

Objectives: In this study, the learning curve of the first 60 patients on whom laparoscopic radical prostatectomy was performed in our clinic was evaluated retrospectively.Materials and Methods: Between January 2006 and June 2011, a total of 60 patients have been diagnosed with localized prostate cancer underwent laparoscopic extraperitoneal descending radical prostatectomy in our clinic. Preoperative and postoperative results of these patients were evaluated.Results: The mean values of preoperative PSA and Gleason score were 8.8ng/ml and 6 respectively. The mean operation duration was 255 minutes, and the blood transfusion was needed in %60 of the patients. 4 patients were transitied to open surgery.Complications were occured at early postoperative period in 7 patients. The mean hospital stay was 7 days. 10 patients required long-term catheterization. Operation time, transfusion rate, length of catheterization, oncological outcomes, potency and continence status were evaluated. In the postoperative period, hemorrhagie was seen in 2 patients, haematoma 5 and scrotal edema in 2. In 2 cases, catheter duration was extended because of the anastomotic leakage. Transurethral incision was performed in 2 patients who developed postoperative anastomotic stricture. Potency was regained in 8 of the 22 patients who went through bilateral protective neurosurgery. In the postoperative period, PSA level was measured < 0,01 in 44 patients. Conclusion: Laparoscopic radical prostatectomy is technically difficult method and it requires a considerably long learning curve. Our results of the laparoscopic radical prostatectomy were similar to open surgery. Although the number of patients is not enough, the results are promising

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