Laparoscopic transperitoneal radical prostatectomy in renal transplant recipients: a review of the literature |
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Authors: | Mario Álvarez Maestro Angel Tabernero Gómez Sergio Alonso y Gregorio Jesús Cisneros Ledo Javier De La Peña Barthel Luis Martínez‐Piñeiro |
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Affiliation: | Department of Urology, Hospital Universitario La Paz, and Department of Urology, Hospital Infanta Sofia, Madrid, Spain |
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Abstract: | OBJECTIVES To report our experience with laparoscopic radical prostatectomy (LRP) for the treatment of localized prostate carcinoma in two renal transplant recipients and a review of the literature. PATIENTS AND METHODS We retrospectively identified all patients who had undergone LRP for clinically localized prostate cancer between 2002 and 2008 at our institution (n = 1150). Of these patients, two were renal transplant recipients (one with donor renal transplant cadaver and the other with prior transplantectomy). We reviewed all available clinicopathological data and the scientific literature. RESULTS The two patients underwent successful LRP with no major complications. The mean (range) operative time was 200 (180–220) min with a mean estimated blood loss of 300 (200–400) mL. There were no changes in renal graft function as measured by serum creatinine level. At pathology, the surgical margins were negative and disease was organ‐confined in each case. The two patients tolerated the procedure well and had a mean (range) hospital stay of 3.5 (3–4) days. CONCLUSIONS The data from our two patients suggest that LRP, as an accepted minimally invasive treatment for a middle‐aged man with organ‐confined prostate cancer, is a technically feasible and safe treatment of localized prostate cancer in renal transplant recipients. |
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Keywords: | laparoscopic transperitoneal radical prostatectomy treatment of localized prostate carcinoma renal transplant recipients |
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