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Comparative outcomes of continuous and interrupted

Continuous (N=26). Interrupted (N=27). P value. Bladder N. e. c. k Contracture. 4. (15.4%). 1 (3. 7. %). 0.01. 7. Urine Leak. 4 (15.4%) . 3 (11.1%). 0. 84. No. 096. Comparative outcomes of continuous and interrupted v esico -urethral a nastomosis during l aparoscopic

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Comparative outcomes of continuous and interrupted

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  1. Continuous (N=26) Interrupted (N=27) P value Bladder N e c k Contracture 4 (15.4%) 1 (3. 7 %) 0.01 7 Urine Leak 4 (15.4%) 3 (11.1%) 0. 84 No. 096 Comparative outcomes of continuous and interrupted vesico-urethral anastomosis during laparoscopic radical prostatectomy Andrew Chong1, Daniel Steiner1, Steven Chan2, Jason Ooi1 1Western Health Department of Urology 2Professor, Western Health Department of Surgery Posters Proudly Supported by: Introduction Laparoscopic Radical Prostatectomy (LRP) is an accepted technique for the management of localised prostate cancer which delivers similar oncological and functional outcomes to the open procedure1. The vesico-urethral anastomosis is a critical step of the operation and an important determinant of long term functional outcomes. Several methods of performing the anastomosis have been described, however none have clearly been shown to be superior2. Results Pre-operative data Aim To report functional outcomes and complication rates between patients receiving interrupted and continuous anastomosis during laparoscopic radical prostatectomy Peri/Post-operative data Primary Outcomes • Methods • Retrospective review of 53 LRP cases at Western Health from 2008 to 2012 • 3 surgeons performed continuous anastomosis (CA, N=26) with standard Van Velthoven reconstruction, 1 surgeon performed interrupted anastomosis (IA, N=27) • Patient and disease variables were recorded from both groups: Age, BMI, PSA, prostate volume, pathological stage, Gleason score • Outcomes measured: Bladder neck contracture, continence and anastomotic leak rates, operative time, length of stay • Statistical analysis: Fisher’s exact test for categorical data, Mann-Whitney U test for interval scale data, time to event analysis to compare operative times *all cases required operative management • Conclusions • Continuous anastomosis during LRP associated with increased incidence of bladder neck contracture • Better early continence observed in patients receiving interrupted anastomosis • No difference in long term continence with either method • Equivalent urine leak rates observed • Acknowledgements • Mr Daniel Steiner • Mr Jason Ooi • Mr Raymond Tong • Professor Steven Chan References 1 EurUrol 2009 May;55(5):1037-63 Retropubic, laparoscopic, and robot-assisted radical prostatectomy: a systematic review and cumulative analysis of comparative studies. FicarraV 2 World J Urol (2008) 26:617–622 Analysis of three different vesicourethral anastomotic techniques in laparoscopic radical prostatectomy. Teberet al.

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