Summary

Laparoscopic radical prostatectomy is a relatively new approach to the surgical treatment of localized prostate cancer.

Since its inception, the technique, however challenging, is undergoing continuous refinements, which made it today a feasible, reproducible, and teachable operation practiced by urologists worldwide.

The advantages of the laparoscopic approach are a magnified view of the anatomic structures, and a decreased venous bleeding in the surgical field allowing an accurate dissection of the prostate and neurovascular bundles. Theses advantages translate to a low positive surgical margin rate, low morbidity profile, and favorable postoperative quality of life outcomes. Performed only in the last six years, long-term cancer control and functional results data following laparoscopic radical prostatectomy are not available.

For a successful laparoscopic prostatectomy program, advanced laparoscopic skills, knowledge of the prostatic anatomy, and expertise in surgical oncology are required.

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