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No death, 0,2% phlebitis, 0,1% embolism, and no other cardiovascular accident was observed in this series of 2200 patients.
17 millimetric rectal injuries were observed and were sutured laparoscopically. A temporary colonic diversion
was done in 2 patients. One ileal burning required a 2nd operation and 0,2% recto-urethral fistula were observed and treated surgically.
Partial bipolar coagulation of an obturator nerve induced
only transient sequelae lasting for a fortnight.
Urine leak into the suction drainage were observed in 5% of cases, simply resulting in extension of the hospital stay by several days. 4 surgical revisions and 2 abdominal punctures were required in 4 patients (0.6%).
0,1 % ureters were cut and repaired laparoscopically and two were burnt partially requiring a ureteric stent in one case and a uretero-vesical reimplantation in other case.
0.3% of patient had a bleeding of an epigastric artery during
placement of a trocar was observed.
1% of hematomas.
0,1% eventrations of the abdominal wall were detected.
0,4% wound infection, 0,5% stenosis of the vesico-urethral suture was observed in these 2200 patients.
Globaly, 2,9% of patients underwent a second operation.
No tumour seeding on the ports was observed.
Conclusions: Laparoscopic radical prostatectomy is a well
standardised operative technique which allows less blood transfusion,
a shorter hospital stay with less pain. Carcinological results
are the same, and functional results such as continency are
better in our hands than after open surgery with a quicker
continence recovery. Potency is also better comparing with
our previous results after open surgery.
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