Önder SÜRGIT, Ömer BATRAK

LİGASURE KULLANILARAK GERÇEKLEŞTİRİLEN LAPAROSKOPİK TRANSPERİTONEAL RADİKAL PROSTATEKTOMİ OPERASYONU

Bu yazıda amacımız transperitoneal yolla yapılan laparoskopik radikal prostatektomi operasyonunda LigaSuredamar kapama cihazının kullanılabilirliğini göstermektir. Ellidört yaşında erkek hasta lokalize prostat kanseritanısı ile laparoskopik radikal prostatektomi yapılmak üzere kliniğimize kabul edildi. Transperitoneallaparoskopik prosedür, LigaSure cihazı kullanılarak gerçekleştirildi. Prosedür güçlük çekilmeden tamamlandı.Toplam operasyon süresi 130 dk ve kan kaybı 30 ml olarak gerçekleşti. Son patolojik tanı cerrahi sınırlar negatif,PT3aNoMx prostat kanser olarak rapor edildi. Herhangi bir barsaklara ait ve ya enfeksiyöz komplikasyonolmadı. Hastanın 10. aydaki takibinde prostat kanser nüksüne ait bulguya rastlanmadı. Laparoskopik radikalprostatektomi operasyonunda, Ligasure ile dorsal ven kompleksinin ve lateral prostatik pediküllerin kapatılıpkesilmesi uygulanabilir bir teknik olarak görünmektedir. Bilgimize göre, bu olgu LigaSure damar kapama cihazıkullanılarak yapılan literatürdeki ilk laparoskopik radikal prostatektomi vakasıdır

Anahtar Kelimeler:

Laparoskopi, prostatektomi, hemostatik teknikler

Laparoscopic Transperitoneal Radical Prostatectomy PerfomedWith LigaSure Device

This report depicts the feasibility of LigaSure device by using the transperitoneal approach during laparoscopic radical prostatectomy.A 54-year-old man with localized adenocarcinoma of the prostate was referred for laparoscopic radical prostatectomy. Transperitoneal laparoscopic procedure was performed with LigaSure device.The procedure was completed with no difficulty. Total operative time was 130 min with an estimated blood loss of 30 mL. The final pathology revealed PT3aNoMx prostate cancer with negative margins. No infectious or bowel complications occurred. At 10-month follow-up, there was no evidence for prostate carcinoma recurrence. For dorsal vein complex and lateral prostatic pedicles closure and section during laparoscopic radical prostatectomy, the LigaSure device appears to be feasible. This is, to our knowledge, the first case of laparoscopic radical prostatectomy performed with LigaSure described in the indexed literature.

Keywords:

Laparoscopy, prostatectomy, hemostatic techniques,

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