scholarly journals Radical retropubic prostatectomy for prostate carcinoma: First results of the Clinic of urology in Skopje

2005 ◽  
Vol 52 (4) ◽  
pp. 37-40
Author(s):  
S. Stavridis ◽  
V. Georgiev ◽  
Z. Popov ◽  
M. Penev ◽  
Lj. Lekovski ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Prostate Carcinoma ◽  
Operative Time ◽  
Intraoperative Complications ◽  
Distant Metastases ◽  
Radical Retropubic Prostatectomy ◽  
Complication Rates ◽  
Retropubic Prostatectomy ◽  
Golden Standard ◽  
First Results

Objectives: The aim of this retrospective study is to present our experience and results in the management of prostate carcinoma, with radical retropubic prostatectomy, for a period of seven years. Material and methods: From December 1997 to April 2005, 61 radical retropubic prostatectomies for prostate carcinoma were performed at the Clinic of Urology in Skopje. Mean age of the treated patients was 66.4 years. Mean serum PSA level was 32.75 ng/ml. None of the patients had distant or bone metastases. Mean operative time was 160 minutes and from 2 to 4 units of blood were transfused intra and postoperatively. Mean follow up time was 39 months. Results: In all of 61 patients, the RRP was performed for adenocarcinoma of the prostate. The pathological findings postoperatively showed the following pTNM grade: pT2a in 8, pT2b in 10, pT3a in 10, pT3b in 27and pT4 in 6 patients. Positive lymph nodes were found in 14 cases. Intraoperative complications occurred in 6 patients. Early postoperative complications were seen in 12 patients. Urine leakage was seen in 2 patients, incontinence (day and night) in 8 and pulmonary embolia in 2 patients. Late postoperative complications occurred in 11 patients. Stenosis of the vesico-urethral anasthomosis was seen in 3 patients and incontinence (during the night only) in 8 patients. The rate of potency was not evaluated but in the last 30 cases we insisted on preservation of the neurovascular bundles in the cases that it was possible. Conclusion: Radical retropubic prostatectomy is the method of choice and the golden standard for treatment of organ confined prostate carcinoma in patients with long life expectancy, no neither local nor distant metastases and good overall status. With this technique complication rates are minimal, the cure rate is very big and the patients have high quality of life. The experience of the surgeon is very important since the learning curve is crucial for diminishing operative time, postoperative complications and blood transfusions.

Perioperative complications and quality of life after radical retropubic prostatectomy

1995 ◽  
Vol 62 (1_suppl) ◽  
pp. 19-22
Author(s):  
F. Merlo ◽  
M. Mangano ◽  
P. Checchin ◽  
L. Maccatrozzo ◽  
A. Fandella ◽  
...  
Keyword(s):  
Social Life ◽  
Perioperative Complications ◽  
Intraoperative Complications ◽  
Late Complications ◽  
Pelvic Lymphadenectomy ◽  
Radical Retropubic Prostatectomy ◽  
Point Of View ◽  
Early Complications ◽  
Retropubic Prostatectomy

— The Authors report their experience with perioperative complications in 128 patients after radical retropubic prostatectomy preceding bilateral pelvic lymphadenectomy for prostatic cancer. Patients were classified by anatomo-pathological stage; 25% were stage D1. Data relating to homologous transfusions (22%), intraoperative complications (1.6%), minor (16%) or major (7%) early complications and late complications (0.8%) are analysed. The latest group of patients has also been assessed from a sexual, psychological and social point of view. 84% of patients reported an erectile deficit, but only 4% suffered a psychological worsening reflecting on their social life.

scholarly journals Comparison between LigaSure™ and Harmonic® in Laparoscopic Sleeve Gastrectomy: A Single-Center Experience on 422 Patients

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
N. Velotti ◽  
M. Manigrasso ◽  
K. Di Lauro ◽  
A. Vitiello ◽  
G. Berardi ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Postoperative Complications ◽  
Operative Time ◽  
Intraoperative Complications ◽  
Hospital Costs ◽  
Point Of View ◽  
Morbidly Obese ◽  
Biomedical Sciences ◽  
Single Center Experience ◽  
User Friendly

Background. New laparoscopic devices, such as electrothermal bipolar-activated devices (LigaSure™ (LS)) or ultrasonic systems (Harmonic® scalpel (HS)), have been applied recently to bariatric surgery allowing to reduce blood loss and surgical risks. The aim of this study was to retrospectively compare intraoperative performance of HS and LS, postoperative results, and clinical outcomes in a large cohort of patients undergoing LSG. Methods. Data from 422 morbidly obese patients undergoing LSG in our Bariatric Unit at the Advanced Biomedical Sciences Department of the “Federico II” University of Naples (Italy) between January 2009 and December 2017 were retrospectively analyzed. Subjects were divided into two groups (HS and LS), and operative time, intraoperative complications, and postoperative (within 30 days from surgery) complications were compared. Bleeding from the omentum or from the staple line, use of hemostatic clips, and absorbable hemostat were recorded as intraoperative complications; hemorrhages, abscess formation, gastric leaks, fever, and mortality were considered as postoperative complications. Results. Statistical analysis showed no difference in terms of baseline demographics between the two cohorts. Operative time (48 ± 9 vs 49 ± 6 min, p=0.646) and the rates of intraoperative and postoperative complications did not significantly differ between groups. Conclusion. Harmonic® and LigaSure™ are both useful tools in bariatric surgery, and these two advanced power devices are user-friendly and can facilitate surgeon work; from this point of view, the choice of the energy device should be based on the preference of the surgeon and on the hospital costs policy and availability.

Perioperative and Postoperative Complications from Bilateral Pelvic Lymphadenectomy and Radical Retropubic Prostatectomy

1987 ◽  
Vol 137 (6) ◽  
pp. 1189-1191 ◽  
Author(s):  
Todd C. Igel ◽  
David M. Barrett ◽  
Joseph W. Segura ◽  
Ralph C. Benson ◽  
Charles C. Rife
Keyword(s):  
Postoperative Complications ◽  
Pelvic Lymphadenectomy ◽  
Radical Retropubic Prostatectomy ◽  
Retropubic Prostatectomy

scholarly journals Results of laparoscopic for the management of bile duct stones

2020 ◽  
Vol 10 (4) ◽  
Author(s):  
Quoc Phong Le ◽  
Keyword(s):  
Bile Duct ◽  
Postoperative Complications ◽  
Bile Ducts ◽  
Clinical Characteristics ◽  
Operative Time ◽  
Intraoperative Complications ◽  
Bile Duct Stones ◽  
Stone Clearance ◽  
Open Conversion ◽  
Laparoscopic Choledochotomy

Abstract Introduction: To describe clinical and para-clinical characteristics of bile duct stones and results of laparoscopic choledochotomies in management of bile duct stones. Materials and methods: Retrospective and prospective study in 152 bile duct stones patient, who underwent laparoscopic choledochotomy with or without usage of flexible bile ducts scope and electrohydraulic technique, from January 2009 to May 2019 at Hue Central Hospital. Results: Mean age 54,2 (22 - 84), 66 male and 86 female, mean operative time: 135 minutes (90 - 235), intraoperative complications: 3,29%, open conversion: 5,92%. Complete stone clearance was achieved in 91,6% patients. Postoperative complications: 7,69%. Conclusions: Managementofbileductstonesbylaparoscopiccholedochotomy is safe and effective with high percentage of stones clearence, as well as low intraoperative and postoperative complications. This procedure can achieve good results if bile ducts scope and electrohydraulic technique were concomitantly applied.

scholarly journals Does Percutaneous Achilles Tenotomy Yield Comparable Short-Term Outcomes to Combined Open Achilles Tenotomy with Posterior Capsulotomy in Pediatric Patients with Clubfoot?

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0015
Author(s):  
Marine Coste ◽  
Mikhail Tretiakov ◽  
Neil V. Shah ◽  
Daniel M. Zuchelli ◽  
Joanne C. Dekis ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Multivariate Regression ◽  
Pediatric Patients ◽  
Operative Time ◽  
Complication Rates ◽  
Congenital Clubfoot ◽  
Short Term ◽  
Achilles Tenotomy ◽  
Posterior Capsulotomy ◽  
Reoperation Rates

Category: Hindfoot, Midfoot/Forefoot, Congenital Introduction/Purpose: As the most common musculoskeletal congenital anomaly, clubfoot (congenital talipes equinovarus) represents a commonly-encountered entity for pediatric orthopaedic and foot/ankle surgeons. As we have observed a shift towards more conservative, cost-conscious approaches to management, this study sought to compare short-term (30-day) perioperative and postoperative outcomes (complications and reoperations) in clubfoot patients who underwent either percutaneous Achilles tenotomy (PT) or combined open Achilles tenotomy with posterior capsulotomy (COTC). Methods: The National Surgical Quality Improvement Program (NSQIP) Pediatric Database was queried for all congenital clubfoot patients. Among those, patients who underwent percutaneous Achilles tenotomy (PT; CPT: 27606) or open Achilles tenotomy with posterior capsulotomy (COTC; CPT: 28262) were stratified into two cohorts. Cohorts were 1:1 propensity score-matched for gender, race, congenital clubfoot diagnosis, and ASA score. Demographics, peri- and 30-day postoperative data were collected for each group and compared using appropriate parametric tests. A p-value of 0.05 or lower indicated statistical significance. A binary stepwise multivariate regression model was used to assess the effects of age, gender, race, ASA score, congenital clubfoot, and surgery type on total complication and reoperation rates. Results: 690 patients were included (PT, n=345; COTC, n=345). PT patients were younger than COTC patients (1.58 vs. 4.26 years; p<0.001). However, gender and race distributions were comparable. PT patients incurred shorter operation-to-discharge intervals (0.24 vs. 1.1 days), total anesthesia (71.8 vs. 191.2 mins) and operative time (34.4 vs. 129.3 minutes) (all p<0.001). PT and COTC patients had comparable rates of postoperative complications (0.00 vs. 0.87%; p=0.082). Complications experienced by COTC patients included pneumonia (0.29%) and surgical site (0.29%), and urinary tract infections (0.29%). Both cohorts also had similar reoperation rates (0.58 vs. 1.45%; p=0.253). Multivariate regression analysis revealed that age, female sex, race, congenital clubfoot diagnosis, and type of surgery were not significantly associated with any increase in odds of incurring postoperative complications or reoperations. Conclusion: Patients who underwent PT were younger than those who underwent a COTC. In addition, COTCs were significantly longer and led to a greater length of stay than those who underwent PT. However, there was no significant difference in short-term post-operative complication and reoperation rates. Lastly, surgery type and operative time were not significant predictors for higher complication rates. Therefore, despite lengthier hospital stay and operative time for PT, COTC and PT had comparable and low short-term complication rates and appeared to be safe procedures for treatment of congenital clubfoot in pediatric patients.

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