3D VERSUS 2D LAPAROSCOPIC RADICAL PROSTATECTOMY FOR ORGAN CONFINED PROSTATE CANCER
Abstract
In our video we describe a laparoscopic radical prostatectomy performed in 3D vision with nerve sparing tecnique. We also present our data to compare operative, oncological and functional results of 3D and 2D laparoscopic radical prostatectomy (LRP).
102 consecutive patients with clinical localized prostate cancer (age < 65, GS < 7, PSA < 10) underwent LRP between March 2014 and December 2015 in our institution. Patients were randomized into two groups, the first using a 2D-HD camera (50 patients) and the second one a 3D-HD camera (52 patients). We registered total operative time (TOT), anasthomosis time (AT), blood loss, complications and pentafecta rates for both groups and compared the results. All the patients had at least a 3 months follow-up.
Mean follow-up was 14.7 months. Mean age was 57.3 and 58 years respectively in 2D and 3D group. We had a mean TOT respectively of 143 ± 17 and 118 ± 15 minutes and a mean AT of 31± 12 minutes and 23 ± 12 minutes. Mean blood loss was 230 ± 30 ml with 2D vision and 180 ± 40 with 3D vision. Pentafecta was reached respectively by 46% and 51.3% of patients at 3 months and 61% and 68% at 12 months.