Laparoscopic Radical Prostatectomy Current Status

Karim A. Touijer, Edouard Trabulsi, and Bertrand Guillonneau

Department of Urology, Sidney Kimmel Center for Prostate and Urologie Cancers, Memorial Sloan-Kettering Cancer Center, New York, New York, U.S.A.

INTRODUCTION

NEW INNOVATIONS IN LAPAROSCOPIC

History

PROSTATE SURGERY

Theoretical Advantages

PERSONAL EXPERIENCE OF THE SENIOR

TECHNIQUE

AUTHOR (B. G.): THE LESSONS LEARNED

Evolution of Techniques

The Laparoscopic Approach in General

PERIOPERATIVE PARAMETERS

Steps in Neurovascular Bundle Preservation

Operative Time

Accessory Pudendal Arteries

Estimated Blood Loss

Control of the Dorsal Vascular Complex

Hospital Stay and Duration of

Dissection of the Apex

Catheterization

Analyzing the Specimen

Convalescence

SUMMARY

Complications

REFERENCES

CANCER CONTROL

COMMENTARY: Robert P. Myers

FUNCTIONAL RESULTS

Continence

Potency

Since its first description 12 years ago, laparoscopic radical prostatectomy has gained increasing importance in the laparoscopic urologic oncology field and became an established treatment for organ-confined prostate cancer.

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