Laparoscopic radical prostatectomy Journal Article
| Authors: | Trabulsi, E. J.; Guillonneau, B. |
| Article Title: | Laparoscopic radical prostatectomy |
| Abstract: | Purpose: After the pioneering period when only few teams were performing the procedure, the laparoscopic approach to radical prostatectomy has become widespread with several technical variations. A comprehensive review of the published literature on laparoscopic radical prostatectomy was performed to determine the current state of the art of this surgical innovation in terms of perioperative parameters, functional results and cancer control. Materials and Methods: English language, peer reviewed articles published before June 2004 concerning laparoscopic radical prostatectomy were found by MEDLINE query. All articles were analyzed and none were a priori excluded. Conclusions were drawn from series of 50 or more patients. Results: Laparoscopic radical prostatectomy is being performed at multiple centers worldwide using various surgical approaches and technologies. Analysis of perioperative parameters, including surgical blood loss, operative time, complications and convalescence, demonstrated low morbidity and showed a clear trend toward improvement with increased experience. The reported positive surgical margin rates were lower in more recent series. As measured by prostate specific antigen recurrence and disease-free intervals, oncological results and cancer control rates are difficult to ascertain in the immature series published to date. Functional results in terms of postoperative urinary and sexual function appear encouraging. Conclusions: Overall the current operative, oncological and functional results of laparoscopic radical prostatectomy appear to approximate those of open radical retropubic prostatectomy. These results justify the considerable interest of the urological community in laparoscopy, as evidenced by its widespread application. Nevertheless, longer followup and more mature data are needed definitively to establish laparoscopic radical prostatectomy as an alternative to the retropubic approach. Copyright © 2005 by American Urological Association. |
| Keywords: | treatment outcome; disease-free survival; surgical technique; review; laparoscopy; laparoscopic surgery; intraoperative care; prostate specific antigen; cancer prevention; neoplasm recurrence, local; bleeding; morbidity; time; postoperative complication; prostatic neoplasms; hospitalization; prostate; peer review; prostatectomy; perioperative period; robotics; parameter; sexual function; urinary tract function |
| Journal Title: | Journal of Urology |
| Volume: | 173 |
| Issue: | 4 |
| ISSN: | 0022-5347 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2005-04-01 |
| Start Page: | 1072 |
| End Page: | 1079 |
| Language: | English |
| DOI: | 10.1097/01.ju.0000154970.63147.90 |
| PUBMED: | 15758704 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 70" - "Export Date: 24 October 2012" - "CODEN: JOURA" - "Source: Scopus" |
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