PHẪU THUẬT NỘI SOI NGOÀI PHÚC MẠC CẮT TOÀN BỘ TUYẾN TIỀN LIỆT ĐỐI VỚI UNG THƯ TUYẾN TIỀN LIỆT KHU TRÚ: KINH NGHIỆM BAN ĐẦU TẠI BỆNH VIỆN E

Abstract

Objective: Evaluation of early results of extraperitoneal laparoscopic prostatectomy for localized prostate cancer at E Hospital from june 2021 to june 2022. Patients and Methods: - Research Methods: Descriptive study of a case series. - Research subjects: 10 patients with localized prostate cancer underwent laparoscopic extraperitoneal resection of the entire prostate.- Research objectives include: age, prostate weight, total PSA before and after surgery, surgery time, intraoperative blood loss, postoperative hospital stay, intraoperative and postoperative complications. Urinary function 3 months after surgery. Results: Average age is 63.4±3.9 years old (57-67 years old); Average prostate weight 43±9 g (28-60g) according to ultrasound, 38±8 g (25-52g) according to MRI; mean total PSA concentration before surgery 55.21 ng/mL (14.14-217.6 ng/mL); mean total PSA concentration 1-3 days after surgery 22.71 ng/mL (1.04 - 144.5 ng/mL); average operation time 317±65minutes (210-420 minutes); average blood loss 126ml; hospital stay after surgery 18 days (7-42 days); no complications during surgery; 01 case of peritoneal perforation was converted to transperitoneal total prostatectomy, 03/10 cases had postoperative anastomosis, all were treated endoscopically with minimally good results; 01 case with lymph node metastasis received adjuvant chemotherapy; 100% of cases have good urinary function 3 months after surgery. Conclusions: The method of laparoscopic extraperitoneal resection of the entire prostate due to localized prostate cancer is a safe and effective treatment method. Bladder-urethral junction fistula after total prostatectomy is a complication that can be encountered, but can be managed by endoscopic - ureteral catheterization.