INTRAOPERATIVE, PERIOPERATIVE, AND LONG-TERM COMPLICATIONS OF RADICAL PROSTATECTOMY - 03/09/11

Doi : 10.1016/S0094-0143(05)70168-3

Bijan Shekarriz, MD ^a, Jyoti Upadhyay, MD ^b, David P. Wood, MD ^c

^a Department of Urology, University of California, San Francisio, California (BS)

^b Hospital for Sick Children, Toronto University, Toronto, Ontario, Canada (JU)

^c Department of Urology, Wayne State University, Karmanos Cancer Institute, Detroit, Michigan (DPW)

Résumé

The advent of anatomic radical retropubic prostatectomy has increased the popularity and number of radical prostatectomies performed for localized prostate cancer in the United States.^{78 Walsh P.C., Partin A.W., Epstein J.I. Cancer control and quality of life following anatomical radical retropubic prostatectomy: Results at 10 years [see comments] J Urol 1994 ; 152 : 1831

Cliquez ici pour aller à la section Références} Improvements in the surgical technique and advances in anesthesia have resulted in a decrease in the complication rate of radical prostatectomy over the last 2 decades.^{74 Thompson I.M., Middleton R.G., Optenberg S.A. , et al. Have complication rates decreased after treatment for localized prostate cancer? J Urol 1999 ; 162 : 107 [cross-ref]

Cliquez ici pour aller à la section Références} Nevertheless, despite excellent results from major academic centers,^{12 Catalona W.J., Carvalhal G.F., Mager D.E. , et al. Potency, continence and complication rates in 1870 consecutive radical retropubic prostatectomies J Urol 1999 ; 162 : 433 [cross-ref]

Cliquez ici pour aller à la section Références, 46 Lerner S.E., Blute M.L., Lieber M.M. , et al. Morbidity of contemporary radical retropubic prostactomy for localized prostate cancer Oncology (Huntingt) 1995 ; 9 : 379

Cliquez ici pour aller à la section Références} reviews of patient surveys and the Medicare database have been less favorable.^{22 Fowler F.J., Barry M.J., Lu-Yao G. , et al. Patient-reported complications and follow-up treatment after radical prostatectomy. The National Medicare Experience: 1988–1990 (updated June 1993) Urology 1993 ; 42 : 622

Cliquez ici pour aller à la section Références, 53 Mettlin C.J., Murphy G.P., Sylvester J. , et al. Results of hospital cancer registry surveys by the American College of Surgeons: Outcomes of prostate cancer treatment by radical prostatectomy Cancer 1997 ; 80 : 1875 [cross-ref]

Cliquez ici pour aller à la section Références}

This article reviews current literature with regard to intraoperative, perioperative, and long-term complications of radical prostatectomy. Most of the available literature is based on the results of radical retropubic prostatectomy, which is the focus of this text. Specific differences and complications of radical perineal prostatectomy are addressed separately.

The mortality rate of radical prostatectomy has been low and approaches 0% in recent series.^{12 Catalona W.J., Carvalhal G.F., Mager D.E. , et al. Potency, continence and complication rates in 1870 consecutive radical retropubic prostatectomies J Urol 1999 ; 162 : 433 [cross-ref]

Cliquez ici pour aller à la section Références, 78 Walsh P.C., Partin A.W., Epstein J.I. Cancer control and quality of life following anatomical radical retropubic prostatectomy: Results at 10 years [see comments] J Urol 1994 ; 152 : 1831

Cliquez ici pour aller à la section Références, 83 Zincke H., Bergstralh E.J., Blute M.L. , et al. Radical prostatectomy for clinically localized prostate cancer: Long-term results of 1143 patients from a single institution [see comments] J Clin Oncol 1994 ; 12 : 2254

Cliquez ici pour aller à la section Références} Complications can be divided into early and long term. Early complications include intraoperative and perioperative complications.