Technique Evolution of Techniques

The initial report of laparoscopic radical prostatectomy by Schuessler et al. (1) was of nine cases performed through an intraperitoneal approach in an antegrade fashion. Shortly, thereafter, a single case of a laparoscopic radical prostatectomy through an extraperitoneal approach was reported (13). The largest initial series, however, originated in France, led first by Guillonneau and Vallancien at the Montsouris Institute in Paris, and then by Abbou in Creteil (2-4,14-18). More recently, the use of robotic devices to assist with the laparoscopic radical prostatectomy has been described (19,20).

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