| WCE 2007 - Single Knot Anastomosis (SKA) For Laparoscopic Radical Prostatectomy: An International Multicenter Outcome Survey of 5235 Cases |
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| Written by Leslie A. Deane, MD | ||
| Friday, 02 November 2007 | ||
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CANCUN, MEXICO (UroToday.com) - Coverage of the 25th Annual World Congress of Endourology and SWL - Cancun, Mexico - Thursday November 1, 2007 Dr. van Velthoven et al presented this multicenter survey on the single knot anastomosis for laparoscopic radical prostatectomy in 9 major institutions worldwide. Of a total of 5235 cases, 1928 were laparoscopic and 3307 were robotic. They have shown that the time to complete the anastomosis for the expert, second generation, and trainee surgeons were 16, 23, and 30 minutes respectively. Additional stitches were necessary only in 1.1%. The anastomosis was water tight in 94.2%. Early leakage requiring prolonged catheter drainage occurred 6.8% of laparoscopic cases and 0% in the robotic assisted cases. Mean catheter time was 7.1 days. The bladder neck contracture rate was 0.8% at 12 months and the rate of acute urinary retention was 0.5%. Session: Laparoscopy Prostate II
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