References

1. Gill IS, Fergany A, Klein EA, et al. Laparoscopic radical cystoprostatectomy with ileal conduit performed completely intracorporeally: the initial 2 cases. Urology 2000; 56:26-30.

2. Gill IS, Kaouk JH, Meraney AM, et al. Laparoscopic radical cystectomy and continent orthotopic ileal neobladder performed completely intracorporeally: the initial experience. J Urol 2002; 168:13-18.

3. Ukimura O, Moinzadeh A, Gill IS. Laparoscopic radical cystectomy and urinary diversion. Curr Urol Rep 2005; 6:118-121.

4. Stein JP, Lieskovsky G, Cote R, et al. Radical cystectomy in the treatment of invasive bladder cancer: long-term results in 1,054 patients. J Clin Oncol 2001; 19:666-675.

5. Parra RO, Andrus CH, Jones JP, Boullier JA. Laparoscopic cystectomy: initial report on a new treatment for the retained bladder. J Urol 1992; 148:1140-1144.

6. Kozminski M, Partamian KO. Case report of laparoscopic ileal loop conduit. J Endourol 1992; 6:147-150.

7. Sanchez de Badajoz E, Gallego Perales JL, Reche Rosado A, Gutierrez de la Cruz JM, Jimenez Garrido A. Laparoscopic cystectomy and ileal conduit: case report. J Endourol 1995; 9:59-62.

8. Denewer A, Kotb S, Hussein O, El-Maadawy M. Laparoscopic assisted cystectomy and lym-phadenectomy for bladder cancer: initial experience. World J Surg 1999; 23:608-611.

9. Fergany AF, Gill IS, Kaouk JH, Meraney AM, Hafez KS, Sung GT. Laparoscopic intracorporeally constructed ileal conduit after porcine cystoprostatectomy. J Urol 2001; 166:285-288.

10. Kaouk JH, Gill IS, Desai MM, et al. Laparoscopic orthotopic ileal neobladder. J Endourol 2001; 15:131-142.

11. Turk I, Deger S, Winkelmann B, Schonberger B, Loening SA. Laparoscopic radical cystectomy with continent urinary diversion (rectal sigmoid pouch) performed completely intracorporeally: the initial 5 cases. J Urol 2001; 165:1863-1866.

12. Herr HW, Bochner BH, Dalbagni G, Donat SM, Reuter VE, Bajorin DF. Impact of the number of lymph nodes retrieved on outcome in patients with muscle invasive bladder cancer. J Urol 2002; 167:1295-1298.

13. Finelli A, Gill IS, Desai MM, Moinzadeh A, Magi-Galluzzi C, Kaouk JH. Laparoscopic extended pelvic lymphadenectomy for bladder cancer: technique and initial outcomes. J Urol 2004; 172:1809-1812.

14. Sharp et al. J Urol 2003; 169(suppl) (Abstracts: AUAAnnual Meeting).

15. DeGer S, Peters R, Roigas J, Wille AH, Tuerk IA, Loening SA. Laparoscopic radical cystectomy with continent urinary diversion (rectosigmoid pouch) performed completely intracorporeally: an intermediate functional and oncologic analysis. Urology 2004; 64:935-939.

16. Gaboardi F, Simonato A, Galli S, Lissiani A, Gregori A, Bozzola A. Minimally invasive laparoscopic neobladder. J Urol 2002; 168:1080-1083.

17. Simonato A, Gregori A, Lissiani A, Bozzola A, Galli S, Gaboardi F. Laparoscopic radical cystoprostatectomy: a technique illustrated step by step. Eur Urol 2003; 44:132-138.

18. Hemal AK, Kumar R, Seth A, Gupta NP. Complications of laparoscopic radical cystectomy during the initial experience. Int J Urol 2004; 11:483-488.

19. Basillote JB, Abdelshehid C, Ahlering TE, Shanberg AM. Laparoscopic assisted radical cystectomy with ileal neobladder: a comparison with the open approach. J Urol 2004; 172:489-493.

20. Beecken WD, Wolfram M, Engl T, et al. Robotic-assisted laparoscopic radical cystectomy and intraabdominal formation of an orthotopic ileal neobladder. Eur Urol 2003; 4:37-339.

21. Balaji KC, Yohannes P, McBride CL, Oleynikov D, Hemstreet GP III. Feasibility of robot-assisted totally intracorporeal laparoscopic ileal conduit urinary diversion: initial results of a single institutional pilot study. Urology 2004; 3:51-55.

22. Menon M, Hemal AK, Tewari A, et al. Nerve-sparing robot-assisted radical cystoprostatectomy and urinary diversion. BJU Int 2003; 92:232-236.

23. Peterson AC, Lance RS, Ahuja S. Laparoscopic hand assisted radical cystectomy with ileal conduit urinary diversion. J Urol 2002; 168:2103-2105.

24. McGinnis DE, Hubosky SG, Bergmann LS. Hand-assisted laparoscopic cystoprostatectomy and urinary diversion. J Endourol 2004; 18:383-386.

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26. Vallancien G, Abou El Fettouh H, Cathelineau X, Baumert H, Fromont G, Guillonneau B. Cystectomy with prostate sparing for bladder cancer in 100 patients: 10-year experience. J Urol 2002; 168:2413-2417.

27. Guazzoni G, Cestari A, Colombo R, et al. Laparoscopic nerve- and seminal-sparing cystectomy with orthotopic ileal neobladder: the first three cases. Eur Urol 2003; 44:567-572.

28. Cathelineau X, Arroyo C, Rozet F, Barret E, Vallancien. Laparoscopic assisted radical cystectomy: the montsouris experience after 84 cases. Eur Urol 2005, 47:780-784.

CHAPTER

TRANSPERITONEAL LAPAROSCOPIC RADICAL PROSTATECTOMY: TECHNICAL VARIATIONS, ONCOLOGIC AND FUNCTIONAL RESULTS, AND TRAINING

Jens J. Rassweiler, Tibet Erdogru, Marto Sugiono, Marzel Hrutza, and Dogu Teber

Department of Urology, SLK Heilbronn Hospital, Heilbronn, Germany

THE HISTORY OF LAPAROSCOPIC RADICAL PROSTATECTOMY

INDICATIONS OF LAPAROSCOPIC RADICAL

PROSTATECTOMY

SPECIFIC CONTRAINDICATIONS

Problematic Conditions

LAPAROSCOPIC TRANSPERITONEAL

ASCENDING RADICAL PROSTATECTOMY

(THE HEILBRONN TECHNIQUE)

Armamentarium

Patient Preparation

Trocar Placement

Access to Retzius Space

Santorini Plexus Control and Transection

Apical Dissection

Bladder Neck Incision

Division of Cranial Pedicles and Seminal

Vesicle Dissection Urethrovesical Anastomosis Reconstruction of the Bladder Neck Specimen Retrieval LAPAROSCOPIC TRANSPERITONEAL DESCENDING RADICAL PROSTATECTOMY (THE MONTSOURIS TECHNIQUE)

Trocar Positioning Posterior Approach TECHNICAL VARIATIONS Trocar Positioning Access in Laparoscopic Radical

Prostatectomy Control of Vascular Structures Anastomosis RESULTS

Perioperative Outcomes Pathologic Assessment of Follow-up Functional Assessments and Outcomes Recovery of Continence Recovery of Sexual Potency TRAINING

Training for Vascular Control and Reconstructive Parts of Laparoscopic Radical Prostatectomy SUMMARY REFERENCES

COMMENTARY: Guy Vallancien

The goals of laparoscopic radical prostatectomy, as in retropubic radical prostatectomy, are lifelong oncological control of localized prostate carcinoma while maintaining continence and potency functions with minimizing of operative morbidity that contribute to a global quality of life.

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