Five-year progression-free survival in 577 patients operated on with laparoscopic radical prostatectomy for localized prostate cancer.

Viktor Berge, Rolf Eigil Berg, Jon Roar Hoff, Nicolai Wessel, Aud Svindland, Steinar Johan Karlsen, Lars Magne Eri
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引用次数: 8

Abstract

Objective: Laparoscopic radical prostatectomy (LRP) was introduced in the Department of Urology, Oslo University Hospital, in 2002. The aim of this study was to report mid-term oncology results and survival data.

Material and methods: From February 2002 to November 2007, 582 consecutive patients with localized prostate cancer underwent LRP. Data were collected prospectively into a database.

Results: Mean and median follow-up after LRP was 30.3 months (± 15.5) and 36.0 months (range 3-72). Five patients (1%) were lost during follow-up. Two patients died of prostate cancer during the study period and 10 patients died of other causes. The overall positive surgical margin (PSM) rate was 29% and decreased to 13% for the last 100 patients. The overall PSA progression-free survival (PFS) was 85% at 3 years and 73% at 5 years. Gleason score in the tumour specimen, pT stage and surgical margins were statistical significant independent predictors of biochemical PFS.

Conclusion: These oncology results and 5-year PFS data after LRP are in line with other reports.

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577例腹腔镜根治性前列腺切除术治疗局限性前列腺癌患者的5年无进展生存率
目的:2002年在奥斯陆大学医院泌尿外科引进腹腔镜根治性前列腺切除术(LRP)。本研究的目的是报告中期肿瘤学结果和生存数据。材料与方法:2002年2月至2007年11月,582例连续的局限性前列腺癌患者行LRP。前瞻性地将数据收集到数据库中。结果:LRP术后平均随访时间30.3个月(±15.5),中位随访时间36.0个月(范围3-72)。随访期间丢失5例(1%)。在研究期间,2名患者死于前列腺癌,10名患者死于其他原因。总体阳性手术切缘(PSM)率为29%,在最后100例患者中下降到13%。总体PSA无进展生存期(PFS) 3年为85%,5年为73%。肿瘤标本的Gleason评分、pT分期和手术切缘是生化PFS有统计学意义的独立预测因子。结论:这些肿瘤学结果和LRP后5年PFS数据与其他报道一致。
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来源期刊
Scandinavian Journal of Urology and Nephrology
Scandinavian Journal of Urology and Nephrology 医学-泌尿学与肾脏学
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