a prospective study of symptom distress and return to baseline function after open versus laparoscopic radical prostatectomy:开放与腹腔镜前列腺癌根治术后症状困扰及回归基线功能的前瞻性研究.pdfVIP
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a prospective study of symptom distress and return to baseline function after open versus laparoscopic radical prostatectomy:开放与腹腔镜前列腺癌根治术后症状困扰及回归基线功能的前瞻性研究
A Prospective Study of Symptom Distress and Return to Baseline
Function After Open Versus Laparoscopic Radical Prostatectomy
Douglas M. Dahl,* Michael J. Barry,*,† Francis J. McGovern, Yuchaio Chang,
Elizabeth Walker-Corkery and W. Scott McDougal‡
From the Departments of Urology and Medicine, Massachusetts General Hospital and the Harvard Medical School, Boston, Massachusetts
Abbreviations Purpose: We assessed and compared outcomes following open and laparoscopic
and Acronyms radical prostatectomy.
LRP laparoscopic radical Materials and Methods: Patients who were scheduled to undergo open or lapa-
prostatectomy roscopic radical prostatectomy were enrolled in the study and followed prospec-
tively. Before surgery the patients were administered a multi-item validated
PDE5 phosphodiesterase type 5
questionnaire, and were followed by telephone and with mail questionnaires
PSA prostate specific antigen
periodically for 12 months. Complications were recorded from chart review and
SDS Symptom Distress Scale compared. Symptom distress and return to baseline for various parameters were
RRP radical retropubic compared between the 2 groups.
prostatectomy Results: Of the patients 102 who underwent open prostatectomy and 104 treated
with laparoscopic prostatectomy were enrolled in the study. At 1 year 90% in the
Submitted for publication January 23, 2009. open and 91% in the laparoscopic group returned the questionnaire. Symptom
Study received human studies institutional distress between the 2 groups did not differ at any time during followup. There
review board approval.
* Equal study contribution.
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