Clinical Comparative Of Postoperative Complications Between Laparoscopic Radical Prostatectomy And Open Radical Prostatectomy

Prostate cancer has been the most common noncutaneous malignancy in US and Europe. Prostate cancer incidence rate was the second most common male malignancy in worldwide. The incidence rate in Asia was much lower than that in Europe and US, but it had increased in recent years. In1993prostate cancer incidence rate was1.71cases per one hundred thousand, and mortality rate was1.2cases per per one hundred thousand in China; Increases had noted between1997and2002(2.0cases per one hundred thousand in1997; and3.4cases per one hundred thousand in2002). We selectd different treatments by the clinical stages of prostate cancer. The radical prostatectomy was considered as golden standard and effective actually for localized prostate cancer. But their stepwise approach needed more anatomic knowledge and operation learning curve. Operative time was longer, and therefore had more risks of complications. Common complications included urination incontinence and sexual dysfunctions etc. The correct understanding of anatomy structure of prostate and its peripheral nerve vascular tissue was a guarantee that prostate cancer was cut off exactly in surgical treatment, and surgical cut edge was clean to reduce postoperative tumor recurrence, and micturition function and sexual function were keep as far as possible in patients. Prostate cancer radical surgery methods had two methods:open and laparoscopic surgery at home and abroad. The characteristics of two surgical methods are different, so the research compared the clinical data and postoperative complications and postoperative curative effect of two surgical methods, in order to obtain the best clinical curative effect, improve the patients quality of life after surgery.Objective:Compare the clinical data and postoperative complications and postoperative curative effect of two surgical methods, analyze the anatomical factors, and find the appropriate anatomy marks, so that doctors and provides the basis for doctors to choose the surgical treatment methods and reduce postoperative complications.Methods:Collect95prostate cancer patients in huai river hospital of henan university and the third hospital of Peking University from July in2010to June in2011. The Laparoscopic radical prostatectomy prostate cancer (Laparoscopic radical prostatectomy, LRP) group had48cases, Open pubic prostate cancer after radical (Open radical prostatectomy, ORP) group had47cases. Compare and analyse postoperative complications, hospital stay, postoperative curative effect of two surgical methods.Result:Operations of95cases are successful. The average time of open radical prostatectomy was246±51.32min, blood loss was398±42.1ml, time placing a urinary catheter was14.1±5.2days, and time of postoperative hospital stay was15.2±5.4days. Urinary incontinence2cases, erectile dysfunction8cases. The time of laparoscopic radical prostatectomy average was236±41.22min, blood loss was322±32.1ml, time placing a urinary catheter was13.9±3.2days, time of postoperative hospital stay10.2±2.1days. Urinary incontinence2cases, erectile dysfunction2cases,Conclusion:Prostate cancer radical is a safe and reliable method to treat early localized prostate cancer; There was such a clear vision in laparoscopic group that protect the neurovascular bundle, so the incidence of postoperative sexual dysfunction significantly was less than that in open surgery group, and improved the postoperative quality of patients’life; After laparoscopic radical prostatectomy patients got faster recovery of intestinal function, got out of bed early and had hospitalization days shorter. Therefore, laparoscopic radical prostatectomy has certain advantages compared with open surgery.