Bibliographic citations
Gutiérrez, J., (2021). Comparación de resultados oncológicos y funcionales de prostatectomia radical laparoscópica y convencional en pacientes con cáncer de próstata localizado [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/7395
Gutiérrez, J., Comparación de resultados oncológicos y funcionales de prostatectomia radical laparoscópica y convencional en pacientes con cáncer de próstata localizado [Tesis]. PE: Universidad Privada Antenor Orrego; 2021. https://hdl.handle.net/20.500.12759/7395
@misc{renati/1337477,
title = "Comparación de resultados oncológicos y funcionales de prostatectomia radical laparoscópica y convencional en pacientes con cáncer de próstata localizado",
author = "Gutiérrez Córdova, Jhonatan",
publisher = "Universidad Privada Antenor Orrego",
year = "2021"
}
To determine oncological and functional results in conventional and laparoscopic radical prostatectomy in patients with localized prostate cancer in the Urology service of the North Regional Institute of Neoplastic Diseases. MATERIALS AND METHODS: A retrospective cohort analytical study was carried out, performed by analyzing the medical records of patients treated with radical prostatectomy during the period June 2010 to June 2015. Preoperative variables were analyzed (age, PSA, Gleason Score of the biopsy, functional status, comorbidities), peri-operative (surgical time, intraoperative bleeding, hospital stay, complications), postoperative: oncological (clinical stage, Gleason criteria of the surgical piece, pT, pN, surgical margins) and postoperative functional: (urinary continence and potency sexual performance). For the statistical analysis, the IBM SPSS V24.0 program was used; The Chi Square test (χ²) to determine the association of variables, Fisher's test when appropriate, and the Mann-Whitney U test was used for quantitative variables. RESULTS: A total of 70 patients with a diagnosis of localized prostate cancer, treated by radical prostatectomy, were evaluated. The patients were grouped according to the technique used: conventional surgery (n = 40); laparoscopic surgery (n = 30). No significant differences were found in oncological results; but if in intraoperative bleeding (1177 vs 440 cc; p <0.001), hospital stay (5.8 vs 4.6 days; p = 0.003), complications (35% vs 10%; p = 0.016) and continence (93.3% vs 65%; p = 0.018) in favor of the laparoscopic technique. When evaluating the surgical time, it was found that it was shorter in the conventional technique (242.4 vs 295.7 minutes; p <0.001). CONCLUSIONS: At 60 months of follow-up, there was no significant difference in oncological results or sexual potency between the two groups. With the laparoscopic technique, less intraoperative bleeding, fewer intraoperative and postoperative complications, shorter hospital stay and better recovery from urinary continence were found.
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