Preliminary experience with extraperitoneal endoscopic radical prostatectomy through duplication of the open technique

Tobias-Machado, Marcos; Lasmar, Marco Túlio Coelho; Medina, Jimmy J. A.; Forseto, Pedro H.; Juliano, Roberto Vaz; Wroclawski, Eric Roger

doi:10.1590/s1677-55382005000300006

Cited by 9 publications

(8 citation statements)

References 23 publications

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“…But the extraperitoneal technique potentially decreases the risk of intra-abdominal complications and better approximates open retropubic radical prostatectomy. In conclusion, this series confirms the reproducibility of the results of other centers [6,9] using EP-LRP for safety and efficacy. However, the number of patients in our cohort was not sufficient.…”

supporting

confidence: 85%

Extraperitoneal Laparoscopic Radical Prostatectomy

Song

Zhang

et al. 2006

Archives of Andrology

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& A total of 28 patients with clinically localized prostate cancer (PCa) underwent extraperitoneal laparoscopic radical prostatectomy (EP-LRP). The mean operative duration was 309 (287 600) minutes. Estimated blood loss ranged from 380 to 1000 (mean 480) ml. At 3 to 5 days postoperatively, the catheter was removed. No open conversion was required and no patient presented postoperative complications. PSA level was less than 0.1 ng=ml at 3 months after surgery in all patients. At a mean follow-up of 10 (6 16) months, there were no biochemical failures. The extraperitoneal technique potentially decreased the risk of intra-abdominal complications and better approximated than open retropubic radical prostatectomy. In conclusion, EP-LRP is an effective, safe and precise technique.

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supporting

confidence: 85%

Extraperitoneal Laparoscopic Radical Prostatectomy

Song

Zhang

et al. 2006

Archives of Andrology

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“…In RLRP, the limited dissection, the effect of pneumoperitoneum on micro vascularization (compression) and the shorter operating time resulted in a reduced blood loss and a lower rate of transfusions (11)(12)(13).…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Laparoscopic Radical Prostatectomy

Onaca¹,

Nita²,

Manu³

et al. 2018

chr

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Retroperitoneal Laparoscopic Radical Prostatectomy (RLRP) has been introduced in our department as the first line treatment for patients with localized prostatic cancer and life expectancy over 10 years. At the time, the surgical team had already extensive experience in minimally invasive urologic surgery. Our aim is to describe the laparoscopic technique we currently use and to analyze our oncologic and functional results. Patients and All the patients who underwent RLRP in our institution (PONDERAS ACADEMIC HOSPITAL) from January 2015 to March 2017 were included into a prospective study. The standard preoperative protocol included blood tests, prostate biopsy, pelvis MRI and bone scintigraphy, while the particular therapy was discussed and approved by the Institutional Multidisciplinary Tumor Board. In all the 45 cases, RLRP was indicated for localized prostate cancer. The average patientÃÂ¢ÃÂÃÂs age was 68 years (range 45 ÃÂ¢ÃÂ" 74 years), mean preoperative prostate specific antigen (PSAi) level was 8 ng/mL (range 3ÃÂ¢ÃÂ"15 ng/mL) and prostatic volume between 26 and 52 cc. The laparoscopic approach was completed in all 45 cases ÃÂ¢ÃÂ" no conversions to open surgery. Bilateral nerve sparing was performed in 7 cases (16%) and unilateral in 23 cases (51%). The mean operative time was 165 minutes (range 120 - 240 min), while the average blood loss was 255 mL (range 20ÃÂ¢ÃÂ"800) and two patients received blood transfusions. The mean catheterization time was 10 days (range 7ÃÂ¢ÃÂ"14 days). Positive surgical margins were observed in 8 cases (17.7%). Overall, 86% and respectively, 93% of the patients were continent during the following 3 and 6 months. 51% of the patients had erectile disfunction 6 month after the intervention. Four complications were encountered: intraoperatively - rectal injury (1 case) and postoperatively - bleeding (2 cases) and stenosis at the vesicourethral anastomosis (1 case). No mortality or late morbidity encountered. The radical laparoscopic prostatectomy is a safe and efficient procedure for localized prostate cancer with minimal complications and short hospitalization time, but it requires an experienced team of laparoscopic surgeons. The functional and oncological outcomes of LRP are expected to be improved as the medical team experience is extended.

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“…Other sets of studies on EERPE and its technique variations have also been published. Tobias-Machado et al 31 described the results of 28 cases who underwent a procedure virtually identical to the open technique. The mean surgical time for this cohort was 280 min, mean blood loss was 320 ml and median hospital stay was 3 days.…”

Section: Clinical Evaluationmentioning

confidence: 99%

Evolution of endoscopic extraperitoneal radical prostatectomy (EERPE): technique and outcome

Stolzenburg¹,

Andrikopoulos²,

Kallidonis³

et al. 2011

Asian J Androl

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Endoscopic extraperitoneal radical prostatectomy (EERPE) is a well-established and standardized technique for treating patients with localized prostate cancer. Nevertheless, the procedure is continuously being refined with the expansion of anatomical knowledge. The development of a nerve-sparing approach and improvements in currently used equipment are expected to yield better results in cosmesis and convalescence without sacrificing the procedure's established benefits in terms of potency, continence and oncological management. In this study, the technique and its evolution are presented in detail, along with an analysis of its clinical efficacy. We also consult the literature to compare EERPE to transperitoneal laparoscopic radical prostatectomy, and we also discuss new technical advancements regarding the use of robotic assistance during EERPE.

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Preliminary experience with extraperitoneal endoscopic radical prostatectomy through duplication of the open technique

Cited by 9 publications

References 23 publications

Extraperitoneal Laparoscopic Radical Prostatectomy

Extraperitoneal Laparoscopic Radical Prostatectomy

Retroperitoneal Laparoscopic Radical Prostatectomy

Evolution of endoscopic extraperitoneal radical prostatectomy (EERPE): technique and outcome

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