Laparoscopic radical prostatectomy: A review of techniques and results worldwide Journal Article

  


Authors: Trabulsi, E. J.; Hassen, W. A.; Touijer, A. K.; Saranchuk, J. W.; Guillonneau, B.
Article Title: Laparoscopic radical prostatectomy: A review of techniques and results worldwide
Abstract: Laparoscopic radical prostatectomy (LRP) is currently performed in multiple centers worldwide, with several different surgical approaches and techniques utilized. A comprehensive review of the published literature worldwide on laparoscopic radical prostatectomy was performed to outline the evolution of this technique, and to review the published surgical, oncological and functional results. A systematic review of peer reviewed articles concerning laparoscopic radical prostatectomy was obtained using Medline query. LRP is being performed in multiple centers worldwide, using a variety of surgical approaches and technologies. Analysis of perioperative parameters, including surgical blood loss, operative time, complications and convalescence, demonstrates a low morbidity and shows a clear trend in improvement with increased experience. The functional results, as recorded by postoperative urinary and sexual functions, appear encouraging. The reported positive surgical margin rates decrease with more recent series. Oncological results and cancer control rates as measured by PSA recurrence and disease-free intervals are difficult to ascertain in the immature series published to date. LRP has witnessed tremendous popularity and widespread implementation in specialized centers worldwide. LRP represents a technically demanding laparoscopic procedure with a difficult learning curve, but can be performed systematically with standard techniques. The advantages include shorter convalescence and markedly lower operative blood loss, with quicker removal of the urinary catheter. Long-term functional and oncologic results are not yet available.
Keywords: surgical technique; recovery of function; review; laparoscopy; laparoscopic surgery; bleeding; neuropathy; morbidity; deep vein thrombosis; publication; postoperative complication; prostatic neoplasms; hospitalization; peer review; prostatectomy; operation duration; long term care; catheterization; medline; medical literature; robotics; cancer control; lymphatic drainage; convalescence; sexual function; wound dehiscence; penile erection; intestine injury; artery injury; world health; anastomosis leakage; urination; peritoneum; laparoscopic radical prostatectomy; ureter injury; urinary dysfunction; paralytic ileus; epigastric artery; humans; human; male; prostatic neoplasms, surgery
Journal Title: Minerva Urologica e Nefrologica
Volume: 55
Issue: 4
ISSN: 0393-2249
Publisher: Minerva Medica  
Date Published: 2003-12-01
Start Page: 239
End Page: 250
Language: English
PUBMED: 14765016
PROVIDER: scopus
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-1542378341&partnerID=40&md5=68b92a78185f7c28e5c4cf7a7e3521cc
Notes: Export Date: 25 September 2014 -- Source: Scopus
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MSK Authors
  1. Waleed Hassen
    6 Hassen
  2. Edouard Trabulsi
    10 Trabulsi
  3. Jeffery W Saranchuk
    10 Saranchuk
  4. Bertrand Guillonneau
    136 Guillonneau
  5. Karim Abdelkrim Touijer
    248 Touijer
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