1595: Histopathologic Features of Prostate Tumors Detected at Different PSA Levels in the Contemporary PSA Era

Abstract

bluntly dissected as deep as possible and then totally removed; the defect is filled with surgicel and sutured. Laparoscopic major polar resection: 41 years old gentleman with bilateral tumors because of von Hippel-Lindal disease and tumor greater than 5 em in the lower pole extending into the hilum; the ureter should be widely mobilized to avoid its injury throughout the procedure; intracorporeal ultrasound is used; a satinsky clamp is used to en bloc control; the renal parenchyma is incised as deep as it is necessary; hemostasis is obtained aposing the renal margins with stiches RESULTS: Seven laparoscopic partial nephrectomies with tumors in the hilum were performed from November/2000 to September/04 out of 40 cases. Average OR time was 161 minutes, average warm ischemia time was 23,7 minutes, and average hospital stay was 2, 7 days. One transient fever occurred and one patient needed postoperative transfusion. One case had microscopic positive margin with no recurrence up to 10 months foiiow up.