Laparoscopic radical prostatectomy without ligation of the Santorini’s venous plexus: our experience

==inizio abstract==

BACKGROUND:
Is the ligation of Santorini‚Äôs dorsal venous complex necessary?. The retrospective evaluation of video-laparoscopich radical prostatectomy performed at UOC of Desio with this technical , showed an increased blood loss compared to a technique that provides for the ligation of Santorini’s plexus and, overall, reduced blood loss compared with the average radical open prostatectomy.
MATERIAL AND METHODS:
200 video-laparoscopic extraperitoneal radical prostatectomies were evaluated, which were performed with the same technique and by the same operator. The technique involves the non-ligation of Santorini’s venous plexus. Surgical, oncological, functional outcomes were considered and in particular blood loss.
RESULTS:
The results are consistent with those reported in literature, and without ligation of the Santorini’s venous plexus , there has been no increase in blood loss intra-and / or post-operatively, or in the percentage of patients with hemotransfusion.
CONCLUSION:
The video-laparoscopic radical prostatectomy, although a not yet codified and standardized technique for the treatment of organ-confined prostate cancer, did show oncological and functional results basically l similar to open-sky technique. But compared to this, it has certainly demonstrated a lower blood loss and a reduction of morbidity. The non ligation of Santorini’s venous plexus, always necessary during open prostatectomy, in our experience is not necessary in video-laparoscopy

==fine abstract==