doi:10.3969/j.issn.1006-7795.2016.03.011

Abstract

Abstract: Objective To evaluate the effect of the "Sandwich" reconstruction of the urethrovesical anastomosis contributes to early continence in laparoscopic radical prostatectomy for high-risk prostate cancer. Methods From January 2011 through September 2015, 71 high-risk prostate cancer patients were involved in the study, of whom 47 patients underwent laparoscopic radical prostatectomy with the "Sandwich" reconstruction of the urethrovesical anastomosis and 24 patients underwent laparoscopic radical prostatectomy with standard urethrovesical anastomosis. Outcome data including patient age, body mass index, prostate volume, preoperative prostate specific antigen, Gleason score, clinical stage, operation time, removal of drainage tube's time, removal of catheter time, pathologic stage, lymph node dissection rate, positive surgical margins rate and urinary continence were assessed at 2, 4, 12, 24 and 52 weeks after catheter removal.Results No significant differences were found between the two groups in terms of patient age, body mass index, prostate volume, preoperative prostate specific antigen, Gleason score, clinical stage, removal of drainage tube time, lymph node dissection rate and positive surgical margins rate; The operation time of "Sandwich" reconstruction of the urethrovesical anastomosis was longer than the time of standard urethrovesical anastomosis (P=0.024). A significant difference in removal of catheter time was recorded between the two groups [(14.35±1.83) d in "Sandwich" reconstruction of the urethrovesical anastomosis vs (6.53±0.85)d in standard urethrovesical anastomosis (P <0.001)]; A significant difference of urinary continence was also recorded between the groups (50% in standard urethrovesical anastomosis vs 76.6% in "Sandwich" reconstruction of the urethrovesical anastomosis, P=0.023) after 12 weeks. Conclusion "Sandwich" reconstruction technique in the procedure of urethrovesical anastomosis during laparoscopic radical prostatectomy is safe and feasible, which can improve early recovery of continence for high-risk prostate cancer significantly.

Key words: laparoscopic, "Sandwich" reconstruction technique of the urethrovesical anastomosis, laparoscopic radical prostatectomy, prostate cancer, high-risk, incontinence

CLC Number:

R737.25

Liu Zhibin, Jin Song, Zhang Junhui, Wang Jianwen, Tian Xiquan, Tian Long, Niu Yinong, Xing Nianzeng. "Sandwich" reconstruction of the urethrovesical anastomosis contributes to early continence in laparoscopic radical prostatectomy for high-risk prostate cancer[J]. Journal of Capital Medical University, 2016, 37(3): 313-317.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2016.03.011

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References

[1] 廖晓星, 邢念增, 乔鹏, 等. "三明治" 法尿道重建技术改善腹腔镜下根治性前列腺切除术后早期尿控的效果[J]. 北京大学学报 (医学版), 2015, 47(4): 601-604.
[2] NCCN. The NCCN prostate cancer clinical practice guidelines in oncology (version 2.2016)[EB/OL]. Fort Washington: NCCN,2016[2016-03-13]. http://www.nccn.org/professionals/physician_gls/pdf/prostate.pd
[3] 徐亚文, 刘春晓, 郑少波, 等. 筋膜内切除法在腹腔镜下前列腺癌根治术中的应用[J]. 中华泌尿外科杂志, 2010,31 (7): 482-485.
[4] Nguyen M M, Kamoi K, Stein R J, et al. Early continence outcomes of posterior musculofascial plate reconstruction during robotic and laparoscopic prostatectomy[J]. BJU Int, 2008, 101(9): 1135-1139.
[5] Arap W. Quality of life and satisfaction with outcome among prostate-cancer survivors[J]. N Engl J Med, 2008, 359(2): 200-201; author reply 201-202.
[6] Lombraña M, Izquierdo L, Gómez A, et al. Impact of a nurse-run clinic on prevalence of urinary incontinence and everyday life in men undergoing radical prostatectomy[J]. J Wound Ostomy & Continence Nurs, 2013, 40(3): 309-312.
[7] Kundu S D, Roehl K A, Eggener S E, et al. Potency, continence and complications in 3,477 consecutive radical retropubic prostatectomies[J]. J Urol, 2004, 172(6 Pt1): 2227-2231.
[8] Kim J J, Ha Y S, Kim J H, et al. Independent predictors of recovery of continence 3 months after robot-assisted laparoscopic radical prostatectomy[J]. J Endourol, 2012, 26(10): 1290-1295.
[9] Eastham J A, Kattan M W, Rogers E, et al. Risk factors for urinary incontinence after radical prostatectomy[J]. J Urol, 1996, 156(5): 1707-1713.
[10] Burkhard F C, Kessler T M, Fleischmann A, et al. Nerve sparing open radical retropubic prostatectomy—does it have an impact on urinary continence?[J]. J Urol, 2006, 176(1): 189-195.
[11] Ficarra V, Novara G, Rosen R C, et al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy[J]. Eur Urol, 2012, 62(3): 405-417.
[12] Razi A, Yahyazadeh S R, Sedighi Gilani M A, et al. Bladder neck preservation during radical retropubic prostatectomy and postoperative urinary continence[J]. Urol J, 2009, 6(1): 23-26.
[13] Pettus J A, Masterson T, Sokol A, et al. Prostate size is associated with surgical difficulty but not functional outcome at 1 year after radical prostatectomy[J]. J Urol, 2009, 182(3): 949-955.
[14] Chlosta P L, Drewa T, Jaskulski J, et al. Bladder neck preservation during classic laparoscopic radical prostatectomy-point of technique and preliminary results[J]. Wideochir Inne Tech Maloinwazyjne, 2012, 7(2): 89-95.
[15] Ficarra V, Novara G, Rosen R C, et al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy[J]. Eur Urol, 2012, 62(3): 405-417.
[16] 李恭会, 朱世斌, 成晟, 等. 腹膜外腔镜下根治性前列腺切除术中保留膀胱颈对术后早期控尿功能恢复的影响[J]. 中华泌尿外科杂志, 2013, 34(5): 361-365.
[17] Golabek T, Jarecki P, Jaskulski J, et al. Modified technique for laparoscopic running vesicourethral anastomosis[J]. Wideochir Inne Tech Maloinwazyjne, 2014, 9(3): 357-61.
[18] Schlomm T, Heinzer H, Steuber T, et al. Full functional-length urethral sphincter preservation during radical prostatectomy[J]. Eur Urol, 2011, 60(2): 320-329.
[19] Rocco B, Gregori A, Stener S, et al. Posterior reconstruction of the rhabdosphincter allows a rapid recovery of continence after transperitoneal videolaparoscopic radical prostatectomy[J]. Eur Urol, 2007, 51(4): 996-1003.
[20] Koliakos N, Mottrie A, Buffi N, et al. Posterior and anterior fixation of the urethra during robotic prostatectomy improves early continence rates[J]. Scand J Urol Nephrol, 2010, 44(1): 5-10.
[21] Patel V R, Coelho R F, Palmer K J, et al. Periurethral suspension stitch during robot-assisted laparoscopic radical prostatectomy: description of the technique and continence outcomes[J]. Eur Urol, 2009, 56(3): 472-478.
[22] Tewari A, Jhaveri J, Rao S, et al. Total reconstruction of the vesico-urethral junction[J]. BJU Int, 2008, 101(7): 871-877.

"Sandwich" reconstruction of the urethrovesical anastomosis contributes to early continence in laparoscopic radical prostatectomy for high-risk prostate cancer

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