The effect of peritoneal opening on outcomes of extraperitoneal laparoscopic radical prostatectomy: An analysis of 255 cases
Canadian Urological Association Journal, cilt.20, sa.5, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 20 Sayı: 5
- Basım Tarihi: 2026
- Doi Numarası: 10.5489/cuaj.9402
- Dergi Adı: Canadian Urological Association Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO)
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: This study aimed to investigate the impact of peritoneal patency during extraperitoneal laparoscopic radical prostatectomy (eLRP) on perioperative and postoperative outcomes. Methods: Between May 2018 and March 2025, 255 patients who underwent eLRP were retrospectively evaluated. Patients without peritoneal opening were classified as group 1 (n=223), while those with peritoneal opening were classified as group 2 (n=32). Demographic data, operative time, complication rates, and complication grades based on the Clavien-Dindo classification were analyzed. Logistic regression analysis was performed to identify associated risk factors. Results: A history of abdominal surgery was significantly more common in group 2 (p<0.001), and the mean operative time was also significantly longer in this group (p<0.001). Although the overall complication rate was higher in group 2 (37.5% vs. 24.2%), the difference was not statistically significant (p=0.131). Multivariate analysis revealed that a history of abdominal surgery, operative time >180 minutes, and estimated blood loss >150 ml were significantly associated with postoperative complications; however, peritoneal opening was not identified as an independent risk factor (p=0.113). Conclusions: Although peritoneal opening may introduce technical challenges that compromise the advantages of the extraperitoneal approach, it does not significantly affect postoperative complication rates. With sufficient surgical experience, it appears to be a manageable intraoperative event.