Dorsal venous complex ligation‐free and parietal endopelvic fascia preserving in laparoscopic radical prostatectomy: A prospective study of single centre
Abstract Objectives This study aims to describe a novel dorsal venous complex (DVC) ligation‐free and parietal endopelvic fascia preserving technique for laparoscopic radical prostatectomy and to evaluate its post‐operative outcomes. Methods From April 2020 to May 2021, a total of 125 patients with...
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| Format: | Article |
| Language: | English |
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Wiley
2024-11-01
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| Series: | BJUI Compass |
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| Online Access: | https://doi.org/10.1002/bco2.437 |
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| author | Zhong‐Hua Yang Yong‐Zhi Wang Tao Liu Hang Zheng Xing‐Huan Wang |
| author_facet | Zhong‐Hua Yang Yong‐Zhi Wang Tao Liu Hang Zheng Xing‐Huan Wang |
| author_sort | Zhong‐Hua Yang |
| collection | DOAJ |
| description | Abstract Objectives This study aims to describe a novel dorsal venous complex (DVC) ligation‐free and parietal endopelvic fascia preserving technique for laparoscopic radical prostatectomy and to evaluate its post‐operative outcomes. Methods From April 2020 to May 2021, a total of 125 patients with localized prostate cancer received laparoscopic radical prostatectomy by a single surgeon. In the procedure, a novel technique of DVC ligation‐free and parietal endopelvic fascia preserving was used. Preoperative characteristics of patients and perioperative results were recorded. In this study, continence was defined as zero to one pad per day. Oncological outcomes were evaluated based on positive surgical margin. Results Five patients required a blood transfusion. Mean post‐operative hospital stay was 3.9 days (2–5), and the catheter could be removed on post‐operative day 7 to 9. Final pathologic evaluations were 87 stage pT2, 22 stage pT3a, and 7 pT3b, 9 stage pT4, respectively. The positive surgical margin rate was 10.4% in total. Ninety‐three patients (74.4%) returned to urinary continence 2 months post‐operatively, and 11 patients (11/125) developed biochemical recurrence 6 months post‐operatively. Conclusions The DVC ligation‐free and parietal endopelvic fascia preserving technique provides early recovery from incontinence without adversely affecting the oncological outcome. |
| format | Article |
| id | doaj-art-f1d00d3c5b5d4e52be3288b872090f7d |
| institution | Kabale University |
| issn | 2688-4526 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | BJUI Compass |
| spelling | doaj-art-f1d00d3c5b5d4e52be3288b872090f7d2025-01-22T02:21:03ZengWileyBJUI Compass2688-45262024-11-015111215121910.1002/bco2.437Dorsal venous complex ligation‐free and parietal endopelvic fascia preserving in laparoscopic radical prostatectomy: A prospective study of single centreZhong‐Hua Yang0Yong‐Zhi Wang1Tao Liu2Hang Zheng3Xing‐Huan Wang4Department of Urology Zhongnan Hospital of Wuhan University Wuhan Hubei ChinaDepartment of Urology Zhongnan Hospital of Wuhan University Wuhan Hubei ChinaDepartment of Urology Zhongnan Hospital of Wuhan University Wuhan Hubei ChinaDepartment of Urology Zhongnan Hospital of Wuhan University Wuhan Hubei ChinaDepartment of Urology Zhongnan Hospital of Wuhan University Wuhan Hubei ChinaAbstract Objectives This study aims to describe a novel dorsal venous complex (DVC) ligation‐free and parietal endopelvic fascia preserving technique for laparoscopic radical prostatectomy and to evaluate its post‐operative outcomes. Methods From April 2020 to May 2021, a total of 125 patients with localized prostate cancer received laparoscopic radical prostatectomy by a single surgeon. In the procedure, a novel technique of DVC ligation‐free and parietal endopelvic fascia preserving was used. Preoperative characteristics of patients and perioperative results were recorded. In this study, continence was defined as zero to one pad per day. Oncological outcomes were evaluated based on positive surgical margin. Results Five patients required a blood transfusion. Mean post‐operative hospital stay was 3.9 days (2–5), and the catheter could be removed on post‐operative day 7 to 9. Final pathologic evaluations were 87 stage pT2, 22 stage pT3a, and 7 pT3b, 9 stage pT4, respectively. The positive surgical margin rate was 10.4% in total. Ninety‐three patients (74.4%) returned to urinary continence 2 months post‐operatively, and 11 patients (11/125) developed biochemical recurrence 6 months post‐operatively. Conclusions The DVC ligation‐free and parietal endopelvic fascia preserving technique provides early recovery from incontinence without adversely affecting the oncological outcome.https://doi.org/10.1002/bco2.437dorsal venous complexendopelvic fasciaparietalprostate cancerradical prostatectomy |
| spellingShingle | Zhong‐Hua Yang Yong‐Zhi Wang Tao Liu Hang Zheng Xing‐Huan Wang Dorsal venous complex ligation‐free and parietal endopelvic fascia preserving in laparoscopic radical prostatectomy: A prospective study of single centre BJUI Compass dorsal venous complex endopelvic fascia parietal prostate cancer radical prostatectomy |
| title | Dorsal venous complex ligation‐free and parietal endopelvic fascia preserving in laparoscopic radical prostatectomy: A prospective study of single centre |
| title_full | Dorsal venous complex ligation‐free and parietal endopelvic fascia preserving in laparoscopic radical prostatectomy: A prospective study of single centre |
| title_fullStr | Dorsal venous complex ligation‐free and parietal endopelvic fascia preserving in laparoscopic radical prostatectomy: A prospective study of single centre |
| title_full_unstemmed | Dorsal venous complex ligation‐free and parietal endopelvic fascia preserving in laparoscopic radical prostatectomy: A prospective study of single centre |
| title_short | Dorsal venous complex ligation‐free and parietal endopelvic fascia preserving in laparoscopic radical prostatectomy: A prospective study of single centre |
| title_sort | dorsal venous complex ligation free and parietal endopelvic fascia preserving in laparoscopic radical prostatectomy a prospective study of single centre |
| topic | dorsal venous complex endopelvic fascia parietal prostate cancer radical prostatectomy |
| url | https://doi.org/10.1002/bco2.437 |
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