Positive surgical margins and accessory pudendal artery preservation during laparoscopic radical prostatectomy Journal Article

  

Authors:	Secin, F. P.; Karanikolas, N.; Kuroiwa, K.; Vickers, A.; Touijer, K.; Guillonneau, B.
Article Title:	Positive surgical margins and accessory pudendal artery preservation during laparoscopic radical prostatectomy
Abstract:	Purpose: To determine whether preservation of accessory pudendal arteries (APAs) adversely influences the rate of positive surgical margins (PSMs) during laparoscopic radical prostatectomy (LRP). Material and methods: Between January 2003 and January 2005, 377 men with clinically localized prostate cancer underwent a LRP; 325 met inclusion criteria for this study. The variety (apical or lateral), laterality (left or right), size, and preservation status of all identified APAs were prospectively recorded. A genitourinary pathologist mapped the specimens and established tumor locations and PSM sites. Results: Ninety-six of 325 men (30%) were found to have 125 separate APAs. The apical variety predominated; 56% of APAs were apical and 44% were lateral. Successful preservation was possible for 104/125 (83%) individual arteries. The overall rate of PSM was 11.7%. The rates for those with and without identified APAs were 9% and 13%, respectively (p = 0.4). The incidence of PSMs in the ipsilateral region of APA localization was not affected by preservation status; ipsilateral PSM rates were 3% and 6% for those preserved and not preserved, respectively (p = 0.5). Conclusions: Identification and preservation of APAs during laparoscopic radical prostatectomy did not adversely affect the rates of PSMs. APA preservation can be undertaken without compromise to the oncological integrity of the laparoscopic radical prostatectomy. © 2005 Elsevier B.V. All rights reserved.
Keywords:	adult; controlled study; treatment outcome; middle aged; surgical technique; retrospective studies; major clinical study; cancer localization; neoplasm staging; laparoscopy; laparoscopic surgery; risk factors; prostatic neoplasms; prostatectomy; anatomy; prostate carcinoma; surgical patient; prostate neoplasms; arteries; artery; pudendal artery
Journal Title:	European Urology
Volume:	48
Issue:	5
ISSN:	0302-2838
Publisher:	Elsevier Science, Inc.
Date Published:	2005-11-01
Start Page:	786
End Page:	792
Language:	English
DOI:	10.1016/j.eururo.2005.08.006
PUBMED:	16185810
PROVIDER:	scopus
DOI/URL:	http://www.scopus.com/inward/record.url?eid=2-s2.0-27144452612&partnerID=40&md5=812b280d29a0c2cfb8d1f1cdba332eb0
Notes:	--- - "Cited By (since 1996): 20" - "Export Date: 24 October 2012" - "CODEN: EUURA" - "Source: Scopus"

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