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    WU Hong-liang, GUAN Han, CHEN Zhi-jun, YANG Shuai, DAI Chang-yuan, WANG Cheng-yong, WANG Sheng, LIU Jian-min, LI Qing-wen. Comparison of the clinical outcome of laparoscopic radical prostatectomy between transperitoneal and extraperitoneal approaches[J]. Journal of Bengbu Medical University, 2020, 45(10): 1392-1394, 1398. DOI: 10.13898/j.cnki.issn.1000-2200.2020.10.020
    Citation: WU Hong-liang, GUAN Han, CHEN Zhi-jun, YANG Shuai, DAI Chang-yuan, WANG Cheng-yong, WANG Sheng, LIU Jian-min, LI Qing-wen. Comparison of the clinical outcome of laparoscopic radical prostatectomy between transperitoneal and extraperitoneal approaches[J]. Journal of Bengbu Medical University, 2020, 45(10): 1392-1394, 1398. DOI: 10.13898/j.cnki.issn.1000-2200.2020.10.020
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    Comparison of the clinical outcome of laparoscopic radical prostatectomy between transperitoneal and extraperitoneal approaches

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      • Abstract
    • ObjectiveTo compare the clinical outcome of laparoscopic radical prostatectomy(LRP) between transperitoneal and extraperitoneal approaches.
      MethodsThe clinical data of 50 patients treated with LRP from January 2017 to January 2020 were retrospectively analyzed.The patients were divided into the transperitoneal group(29 cases) and extraperitoneal group(21 cases) according to the surgical approach.
      ResultsThere was no statistical significance in the intraoperative and postoperative blood transfusion rate between two groups(P>0.05).The operative time, intraoperative blood loss, time of complete oral diet, removal time of drainage tube and hospital stay time in the extraperitoneal group reduced compared with the transabdominal group(P < 0.05 to P < 0.01).The rate of immediate urinary continence after catheter removal in transabdominal group was lower than that in extraperitoneal group(P < 0.05).The incidence rate of perioperative complication in transabdominal group was higher than that in extraperitoneal group(P < 0.05).
      ConclusionThe extraperitoneal-LRP and transabdominal-LRP are safe and effective, there is no significant difference in the positive rate of cutting edge.The extraperitoneal approach has the advantages of shorter operation time, shorter hospital stay, less bleeding and fewer complications.
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