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| Effects of 3D Laparoscopic Radical Prostatectomy on Perioperative Indexes, Continence Recovery and Postoperative Complications in Patients with Prostate Cancer |
| WANG Shiqin, et al |
| Hainan Hospital of Traditional Chinese Medicine, Hainan Haikou 570203, China |
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Abstract Objective:To observe the effects of 3D laparoscopic radical prostatectomy (3D-LRP) on perioperative indexes, continence recovery time and postoperative complications in patients with prostate cancer (Pca). Methods: The data of 110 patients with Pca treated by LRP in the department of urinary surgery of the hospital from May 2015 to December 2017 were retrospectively analyzed. 58 patients treated with 3D-LRP were included in the 3D group, and 52 patients treated with 2D-LRP were included in the 2D group. Perioperative indicators, postoperative continence recovery, incidence of postoperative urinary incontinence and sexual dysfunction in both groups were observed. Results: The surgery of all patients was successful. The surgical time of 3D group was significantly shorter than that of 2D group, and the intraoperative blood loss and blood transfusion rate were significantly less/lower than those of 2D group (P<0.05). There was no significant difference in postoperative leakage urine rate, positive rate of resection margin or retention rate of vascular nerve tract between the two groups (P>0.05). The continence recovery in 3D group was better than that in 2D group at 1 month, 2 months, 3 months and 4 months after removal of urinary catheter (P<0.05). Patients with sexual dysfunction in 3D group were significantly fewer than 2D group, and the incidence of urinary incontinence at 3 months after surgery was significantly lower than that in 2D group. Conclusion: 3D-LRP is effective in the treatment of Pca, and it can effectively improve continence.
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2019, Vol. 25 
