Summary

■ The creation of a preperitoneal space is standardized and represents a minimally invasive approach to prostate.

■ Prostate dissection is performed in a traditional anterograde fashion and allows preservation of the neurovascular bundles.

■ The extraperitoneal approach reduces risk of intraperitoneal injuries during laparoscopic access. It may also decrease incidence of postoperative ileus and pain.

■ Previous inguinal herniorraphy with mesh increases the complexity of prevesical space development. Pelvic lymphadenectomy is often impossible in these cases.

■ Attempts to decrease operative time and perioperative morbidity should not outrival the oncologic principles.

■ Further evaluation of long-term results of this technique is necessary.

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