Laparoscopic Radical Extraperitoneal Prostatectomy: A Minimally-Invasive Approach in Treating Localized Prostate Cancer, a First in the Philippines

Laparoscopic Radical Extraperitoneal Prostatectomy: A Minimally-Invasive Approach in Treating Localized Prostate Cancer, a First in the Philippines
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Title:Laparoscopic Radical Extraperitoneal Prostatectomy: A Minimally-Invasive Approach in Treating Localized Prostate Cancer, a First in the Philippines
Author/Abstract:
Arturo P. Castro Jr., MD; Ernesto L. Gerial Jr., MD and Jose Benito Abraham, MD

Department of Urology, National Kidney and Transplant Institute

We report the first successful case of laparoscopic extraperitoneal radical prostatectomy in the Philippines done on a 63 year-old male who was diagnosed with localized adenocarcinoma of the prostate Gleasons 6 (3+3). This patient presented with lower urinary tract symptoms for 3 months. He had an essentially normal systemic physical examination findings and had a greater than 40 grams prostate size with benign features on digital rectal examination. PSA level was 11 mg/ml. The main objective of this paper was to show that with increasing laparoscopic surgical experience, our team is able to perform this highly advanced and technically demanding reconstructive laparoscopic urologic procedure without intraoperative and postoperative complications and with good surgical outcome. Specifically, we would like to show that while this operation is already extremely difficult, we have strictly adhered to basic oncologic principles, which have allowed us to obtain complete extirpation of the tumor and maintain acceptable negative surgical margins. Lastly, we have also been able to preserve the patient's continence mechanism.

Key words: localized prostate cancer, laparoscopy, extraperitoneal radical prostatectomy
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