The place of three dimensional laparoscopy i̇n localized prostate canser

The Place Of Three Dimensional Laparoscopy İn Localized Prostate Canser Prostate cancer is the second most common cancer in men. The gold standard treatment for localized prostate cancer is radical prostatectomy. At the present time, radical prostatectomy can be performed with open (retropubic, perineal),laparoscopic and robot-assisted laparoscopic methods. In our clinic, laparoscopic radical prostatectomy is performed with three-dimensional imaging systems. We aimed to show that the effectiveness of robotic surgery can be achieved at the cost of conventional laparoscopy thanks to the 3D imaging used in this method. In our study, patients with a history of laparoscopic radical prostatectomy performed with 3D imaging in the Urology Clinic of Fırat University Faculty of Medicine, starting from 2015, were retrospectively scanned. 69 patients were included in the study. The oncological, functional, preoperative, perioperative and postoperative results of the patients were compared with the results of open retropubic radical prostatectomy, laparoscopic radical prostatectomy performed with two-dimensional imaging, and robot-assisted radical prostatectomy in the literature. When our data were compared with the literature, it was determined that our oncological and functional results were in parallel with the literature data. It was concluded that other parameters such as length of hospital stay, amount of bleeding, duration of urethral catheterization, positive surgical margin, and PSA progression were in parallel with the RARP literature data. The fact that the cost of LRP with three-dimensional imaging is much lower compared to RARP and that the tactile sensation which cannot be achieved in RARP can be obtained in three-dimensional LRP, which we have performed, shows the superiority of LRP with three-dimensional imaging in the treatment of localized prostate cancer. Keywords: Prostate cancer, radical prostatectomy, laparoscopy, three-dimensional imaging.