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Başlık: Open vs laparoscopic simple prostatectomy: A comparison of initial outcomes and cost
Yazarlar: Demir, Aslan
Uludağ Üniversitesi/Tıp Fakültesi/Üroloji Anabilim Dalı.
Uludağ Üniversitesi/Tıp Fakültesi/Patoloji Anabilim Dalı.
0000-0001-8673-3093
Günseren, Kadir Ömür
Kordan, Yakup
Yavaşcaoğlu, İsmet
Vuruşkan, Berna Aytaç
Vuruşkan, Hakan
ABC-9924-2020
AAH-9746-2021
56664496600
9633365800
6603612497
56527372000
6507328150
Anahtar kelimeler: Urology & nephrology
Benign prostatic hyperplasia
Extraperitoneal
Adenomectomy
Yayın Tarihi: Ağu-2016
Yayıncı: Mary Ann Liebert
Atıf: Demir, A. vd. (2016). "Open vs laparoscopic simple prostatectomy: A comparison of initial outcomes and cost". Journal of Endourology, 30(8), 884-889.
Özet: Introduction: We compared the cost-effectiveness of laparoscopic simple prostatectomy (LSP) vs open prostatectomy (OP). Patients and Methods: A total of 73 men treated for benign prostatic hyperplasia were enrolled for OP and LSP in groups 1 and 2, respectively. The findings were recorded perioperative, including operation time (OT), blood lost, transfusion rate, conversion to the open surgery, and the complications according to the Clavien Classification. The postoperative findings, including catheterization and drainage time, the amount of analgesic used, hospitalization time, postoperative complications, international prostate symptom score (IPSS) and International Index of Erectile Function (IIEF) scores, the extracted prostate weight, the uroflowmeter, as well as postvoiding residual (PVR) and quality of life (QoL) score at the postoperative third month, were analyzed. The cost of both techniques was also compared statistically. Results: No statistical differences were found in the preoperative parameters, including age, IPSS and QoL score, maximum flow rate (Q(max)), PVR, IIEF score, and prostate volumes, as measured by transabdominal ultrasonography. No statistical differences were established in terms of the OT and the weight of the extracted prostate. No differences were established with regard to complications according to Clavien's classification in groups. However, the bleeding rate was significantly lower in group 2. The drainage, catheterization, and hospitalization times and the amount of analgesics were significantly lower in the second group. The postoperative third month findings were not different statistically. Only the Q(max) values were significantly greater in group 2. While there was only a $52 difference between groups with regard to operation cost, this difference was significantly different. Conclusion: The use of LSP for the prostates over 80 g is more effective than the OP in terms of OT, bleeding amount, transfusion rates, catheterization time, drain removal time, hospitalization time, consumed analgesic amount, and Q(max) values. On the other hand, the mean cost of the LSP is higher than OP. Better effectiveness comes with higher cost.
URI: https://doi.org/10.1089/end.2016.0261
https://www.liebertpub.com/doi/10.1089/end.2016.0261
http://hdl.handle.net/11452/29728
ISSN: 0892-7790
1557-900X
Koleksiyonlarda Görünür:Scopus
Web of Science

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