LİGASURE KULLANILARAK GERÇEKLEŞTİRİLEN LAPAROSKOPİK TRANSPERİTONEAL RADİKAL PROSTATEKTOMİ OPERASYONU

Year 2010, Volume: 11 Issue: 3, 29 - 32, 16.12.2010

Önder Sürgıt Ömer Batrak

Abstract

Bu yazıda amacımız transperitoneal yolla yapılan laparoskopik radikal prostatektomi operasyonunda LigaSuredamar kapama cihazının kullanılabilirliğini göstermektir. Ellidört yaşında erkek hasta lokalize prostat kanseritanısı ile laparoskopik radikal prostatektomi yapılmak üzere kliniğimize kabul edildi. Transperitoneallaparoskopik prosedür, LigaSure cihazı kullanılarak gerçekleştirildi. Prosedür güçlük çekilmeden tamamlandı.Toplam operasyon süresi 130 dk ve kan kaybı 30 ml olarak gerçekleşti. Son patolojik tanı cerrahi sınırlar negatif,PT3aNoMx prostat kanser olarak rapor edildi. Herhangi bir barsaklara ait ve ya enfeksiyöz komplikasyonolmadı. Hastanın 10. aydaki takibinde prostat kanser nüksüne ait bulguya rastlanmadı. Laparoskopik radikalprostatektomi operasyonunda, Ligasure ile dorsal ven kompleksinin ve lateral prostatik pediküllerin kapatılıpkesilmesi uygulanabilir bir teknik olarak görünmektedir. Bilgimize göre, bu olgu LigaSure damar kapama cihazıkullanılarak yapılan literatürdeki ilk laparoskopik radikal prostatektomi vakasıdır

Keywords

Laparoskopi, prostatektomi, hemostatik teknikler

Laparoscopic Transperitoneal Radical Prostatectomy PerfomedWith LigaSure Device

Abstract

This report depicts the feasibility of LigaSure device by using the transperitoneal approach during laparoscopic radical prostatectomy.A 54-year-old man with localized adenocarcinoma of the prostate was referred for laparoscopic radical prostatectomy. Transperitoneal laparoscopic procedure was performed with LigaSure device.The procedure was completed with no difficulty. Total operative time was 130 min with an estimated blood loss of 30 mL. The final pathology revealed PT3aNoMx prostate cancer with negative margins. No infectious or bowel complications occurred. At 10-month follow-up, there was no evidence for prostate carcinoma recurrence. For dorsal vein complex and lateral prostatic pedicles closure and section during laparoscopic radical prostatectomy, the LigaSure device appears to be feasible. This is, to our knowledge, the first case of laparoscopic radical prostatectomy performed with LigaSure described in the indexed literature.

Keywords

Laparoscopy, prostatectomy, hemostatic techniques

References

• 1. Schuessler WW, Schulam PG, Clayman RV, Kavoussi LR. Laparoscopic radical prostatectomy: Initial shortterm experience. Urology 1997;50:854-7.
• 2. Guillonneau B, Cathelineau X, Barret E, Rozet F, Vallancien G. Laparoscopic radical prostatectomy: Technical and early oncological assessment of 40 operations. Eur Urol 1999;36:14-20.
• 3. Guillonneau B, Vallancien G. Laparoscopic radical prostatectomy: The Montsouris technique. J Urol 2000;163:1643-9.
• 4. Rassweiler J, Sentker L, Seemann O, Hatzinger M, Rumpelt HJ. Laparoscopic radical prostatectomy with the Heilbronn technique: An analysis of the first 180 cases. J Urol 2001;166:2101-8.
• 5. Türk I, Deger S, Winkelmann B, Schönberger B, Loening SA. Laparoscopic radical prostatectomy. Technical aspects and experience with 125 cases. Eur Urol 2001;40:46-53.
• 6. Rassweiler J, Schulze M, Teber D, Seemann O, Frede T. Laparoscopic radical prostatectomy: Functional and oncological outcomes. Curr Opin Urol 2004;14:75-82.
• 7. Erdogru T, Teber D, Frede T, Marrero R, Hammady A, Seemann O, Rassweiler J. Comparison of transperitoneal and extraperitoneal laparoscopic radical prostatectomy using match-pair analysis. Eur Urol 2004;46:312-20.
• 8. Parsons JK, Jarrett TJ, Chow GK, Kavoussi LR. The effect of previous abdominal surgery on urological laparoscopy. J Urol 2002;168:2387-90.
• 9. Seifman BD, Dunn RL, Wolf JS. Transperitoneal laparoscopy into the previously operated abdomen: effect on operative time, length of stay and complications. J Urol 2003;169:36-40.
• 10. Fromont G, Baumert H, Catheineau X, Rozet F, Validire P, Vallancien G. Intraoperative frozen section analysis during nerve sparing laparoscopic radical prostatectomy: Feasibility study. J Urol 2003;170:1843-6.
• 11. Salomon L, Anastasiadis A, Levrel O, Katz R, Saint F, de la Taille A, et al. Location of positive surgical margins after retropubic, perineal, and laparoscopic radical prostatectomy for organ-confined prostate cancer. Urology 2003;61:386-90.
• 12. Rassweiler J, Seemann O, Schultze M, Teber D, Hatzinger M, Frede T. Laparoscopic versus radical prostatectomy: A comparative study at a single institution. J Urol 2003;169:1689-93.
• 13. Joseph JV, Vicente I, Madeb R, Erturk E, Patel HR. Robot assisted pure laparoscopic radical prostatectomy: are there any differences. BJU Int 2005;96:39-42.
• 14. Menon M, ShrivastavaA, TewariA, Sarle R, HemalkA, Peabody J, Vallancien G. Laparoscopic and robot assisted radical prostatectomy: Establish of a structured program and preliminary analysis of outcomes. J Urol 2002;168:945-9.
• 15. Raboy A, Albert P, Ferzli G. Early experience with extraperitoneal endoscopic radical retropubic prostatectomy. Surg Endosc1998;12:1264-7.
• 16. Rassweiler J, Schulze M, Teber D, Marrero R, Seemann O, Rumpelt J, Frede T. Laparoscopic radical prostatectomy with the Heilbronn technique: oncological results in the first 500 patients. J Urol2005;173:761-4.
• 17. Guillonneau B, Rozet F, Cathelineau X, Lay F, Barret E, Doublet JD, Baumert H, Vallancien G. Perioperative complications of laparoscopic radical prostatectomy: the Montsouris 3-year experience. J Urol 2002;167:51- 6.
• 18. Guillonneau B, el-Fettouh H, Baumert H, Cathelineau X, Doublet JD, Fromont G, Vallancien G. Laparoscopic radical prostatectomy: oncological evaluation after 1000 cases a Montsouris Institute. J Urol 2003;169:1261-6.
• 19. 19. Laparoscopic radical prostatectomy in kidney transplant patient: Our first experience-a case report. Transplant Proc 2009;41:713-5.
• 20. Bollens R, Vanden Bossche M, Roumeguere T, Damoun A, Ekane S, Hoffmann P, Zlotta AR, Schulman CC. Extraperitoneal laparoscopic radical prostatectomy. Results after 50 cases. Eur Urol 2001;40:65-9.
• 21. Jacob F, Salomon L, Hoznek A, Bellot J, Antiphon P, Chopin DK, Abbou CC. Laparoscopic radical prostatectomy: Preliminary results. Eur Urol 2000; 37: 615-620.
• 22. Türk I, Deger S, Winkelmann B, Schönberger B, Loening SA. Laparoscopic radical prostatectomy. Technical aspects and experience with 125 cases. Eur Urol 2001;40:46-53.
• 23. Porpiglia F, Terrone C, Tarabuzzi R, Billia M, Grande S, Musso F, Burruni R, Renard J, Scarpa RM. Transperitoneal versus extraperitoneal laparoscopic radical prostatectomy: Experience of a single center. Urology 2006;68:376-80.
• 24. Stolzenburg JU, Truss MC. Technique of laparoscopic (endoscopic) radical prostatectomy. BJU Int 2003;91:749-57.
• 25. Hoznek A, Antiphon P, Borkowski T, Gettman MT, Katz R, Salomon L, Zaki S, de la Taille A, Abbou CC. Assessment of surgical technique and perioperative morbidity associated with extraperitoneal versus transperitoneal laparoscopic radical prostatectomy. Urology 2003;61:617-22.
• 26. Kennedy JS, Stranahan PL, Taylor KD, Chandler JG. High burst-strength, feedback-controlled bipolar vessel sealing. 12:876-8.
• 27. Dubuc-Lissoir J. Use of a new energy-based vessel ligation device during laparoscopic gynecologic oncologic surgery. Surg Endosc 2003;17:466-8.