LESS RADICAL PROSTATECTOMY

Mahmoud Abdel Hakim, Ahmed Abdalla, Amr Abdel Hakim.
Urology Department, Cairo University, Cairo, Egypt.


INTRODUCTION
Our aim is to present our first case of pure laparoendoscopic single site radical prostatectomy

PATIENTS AND METHODS
One patient underwent LESS radical prostatectomy using SILS port that was inserted through a 20-30-mm umbilical incision. PSA was 8.7gm/dl.Gleason score was 3+3. The whole gland size was 57 gm.

RESULTS
Patients age was 63 years old. Operative time was 287 min. Blood loss was 350.Hospital stay was 2 days. Visual analogue pain score was 2/10. No need for analgesic use in the early post operative period. The procedure  was completed successfully without need for additional ports .Articulating instruments were used. Uretheral catheter was removed on tenth day. P.O pathology reveal prostate adenocarcinoma gleason 3+3 with negative surgical margin.P.S.A was 0.04 six weeks after the procedure.

CONCLUSION
LESS radical prostatectomy is a technically challenging procedure whoever a large number of cases is needed to point out its role in management of prostate cancer cases.

 
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