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Does the extraperitoneal laparoscopic approach improve the outcome of radical prostatectomy?
- Source :
- Current Urology Reports. 5:115-122
- Publication Year :
- 2004
- Publisher :
- Springer Science and Business Media LLC, 2004.
-
Abstract
- Laparoscopic radical prostatectomy (LRPE) became the operative procedure of choice for patients with clinically localized prostate cancer in selected urologic centers around the world. Principal advantages are the minimal invasive nature of the procedure, a superior visualization of the operative field because of the magnification of the optical system, an exact and watertight anastomosis, the possibility of early catheter removal, and a potentially reduced amount of blood loss. Recent data show that oncologic outcome is not compromised by the minimal invasive nature of the procedure. However, a major drawback of LRPE is the transperitoneal route of access to the extraperitoneal organ of the prostate. Therefore, principal disadvantages of LRPE are potential intraperitoneal complications. Endoscopic extraperitoneal radical prostatectomy is a further advancement of minimal invasive surgery because it overcomes the limitations of LRPE by the strictly extraperitoneal route of access, combining the advantages of minimal invasive surgery with the advantages of an extraperitoneal procedure. This article reviews the literature on minimally invasive (laparoscopic and endoscopic-extraperitoneal) radical prostatectomy.
- Subjects :
- Male
medicine.medical_specialty
Laparoscopic radical prostatectomy
Urology
medicine.medical_treatment
Anastomosis
Minimal invasive surgery
Prostate cancer
Postoperative Complications
Prostate
medicine
Humans
Catheter removal
Intraoperative Complications
Prostatectomy
business.industry
Prostatic Neoplasms
General Medicine
medicine.disease
Surgery
Treatment Outcome
medicine.anatomical_structure
Laparoscopy
Peritoneum
business
Radical retropubic prostatectomy
Subjects
Details
- ISSN :
- 15346285 and 15272737
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- Current Urology Reports
- Accession number :
- edsair.doi.dedup.....400cf08f1acfea4596c2ff79a0261ef3