Perioperative Complications of Laparoscopic Radical Prostatectomy: The Montsouris 3-Year Experience

Guillonneau, Bertrand; Rozet, François; Cathelineau, Xavier; Lay, Frank; Barret, Éric; Doublet, Jean‐Dominique; Vallancien, Guy

doi:10.1016/s0022-5347(05)65381-5

Cited by 293 publications

(151 citation statements)

References 10 publications

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“…Guillonneau et al in 2002, in a series of 567 patients, reported that 82.9% did not present complications, stating that this access has lower morbidity than open retropubic surgery (10). Subsequently, the same authors on the following year, now with 1000 patients, concluded that the laparoscopic radical prostatectomy presents satisfactory results concerning tumor control and biochemical recurrence, in addition to being comparable to the open technique in terms of follow-up and results (11).…”

Section: Commentsmentioning

confidence: 98%

“…Some authors have demonstrated that laparoscopic radical prostatectomy provides functional and oncological results that are comparable with the open technique, however with significant decrease in blood transfusion rate, shorter hospital stay and faster recovery (8,10). Guillonneau et al in 2002, in a series of 567 patients, reported that 82.9% did not present complications, stating that this access has lower morbidity than open retropubic surgery (10).…”

Section: Commentsmentioning

confidence: 99%

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

Tobias-Machado¹,

Lasmar²,

Medina³

et al. 2005

Int. braz j urol.

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Objective: To describe surgical and functional results with extraperitoneal laparoscopic radical prostatectomy with duplication of the open technique, from the experience obtained in the treatment of 28 initial cases.Materials and Methods: In a 36-month period, we prospectively analyzed 28 patients diagnosed with localized prostate cancer undergoing extraperitoneal laparoscopic radical prostatectomy.Results: Mean surgical time was 280 min, with mean blood loss of 320 mL. As intraoperative complications, there were 2 rectal lesions repaired with laparoscopic suture in 2 planes. There was no conversion to open surgery. Median hospital stay was 3 days, with return to oral diet in the first postoperative day in patients. As post-operative complications, there were 3 cases of extraperitoneal urinary fistula. Two of these cases were resolved by maintaining a Foley catheter for 21 days, and the other one by late endoscopic reintervention for repositioning the catheter. Five out of 18 previously potent patients evolved with erectile dysfunction. The diagnosis of prostate cancer was confirmed in all patients, with focal positive margin occurring in 3 cases. During a mean follow-up of 18 months, 2 patients presented increased PSA, with no clinical evidence of disease.Conclusion: Laparoscopic radical prostatectomy is a laborious and difficult procedure, with a long learning curve. Extraperitoneal access is feasible, and it is possible to practically duplicate the principles of open surgery. The present technique can possibly offer advantages in terms of decreased blood loss, preservation of erectile function and prevention of positive margins.

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Section: Commentsmentioning

confidence: 98%

Section: Commentsmentioning

confidence: 99%

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

Tobias-Machado¹,

Lasmar²,

Medina³

et al. 2005

Int. braz j urol.

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“…However, LRP requires significant laparoscopic expertise and takes 50-100 cases to be fully mastered. Guillonneau et al [12] reported a mean operative duration of 268 min for the first 50 cases, 245 min for the next 50 and 180 min for the last 350 in a series of 567 patients. In the same series there were 12 conversions to open surgery in the first 50 cases, two in the next 50 and none in the last 467.…”

Section: Feasibility and Learning The Proceduresmentioning

confidence: 99%

“…The rate of rectal injury has been reported to be 0.005-0.5% in open retropubic prostatectomy [18,19]. Guillonneau et al [12] reported rectal injuries in eight of 567 cases (1.4%) in LRP; this can happen during two steps of the procedure, i.e. during incision of the posterior layer of Denonvilliers' fascia if it is not incised close enough to the posterior surface of the prostate, and during apical dissection, when attempting to develop the plane between the rectum and Denonvillier's fascia.…”

Section: Complications Of Lrpmentioning

confidence: 99%

“…Even in the hands of the most experienced laparoscopic surgeons there can be significant intraperitoneal complications. Guillonneau et al [12] reported intraperitoneal complications in 1.8% of 567 patients after LRP; six patients with ileus (one re-operated), two with ileal injury (two re-interventions), one with sigmoid injury (one re-intervention), five with haemoperitoneum (five re-interventions) and one with uroperitoneum (treated by percutaneous drainage).…”

Section: Complications Of Lrpmentioning

confidence: 99%

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Technique of laparoscopic (endoscopic) radical prostatectomy

Stolzenburg

Truß

2003

BJU International

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SUMMARYDuring the last decade laparoscopy has become a standard technique available to the urologist, through constant technological advances and refinements. The progress of laparoscopic/endoscopic techniques allows the indications for this surgery to include complex oncological procedures like radical prostatectomy. Since the first description of laparoscopic radical prostatectomy (LRP) in the early 1990s the technique has undergone significant technical modifications. Transperitoneal LRP is now a standard procedure and can be used successfully and reproducibly, giving results comparable with those from the open retropubic procedure. Despite many advantages, transperitoneal laparoscopy is associated with potential intraperitoneal complications. Because of the limitations inherent in the transperitoneal route, a totally extraperitoneal endoscopic radical prostatectomy (EERPE) has been developed. The totally extraperitoneal endoscopic access provides a safe and minimally invasive approach to various urological procedures, including prostatectomy. This technical improvement completely obviates intra‐abdominal complications. EERPE combines the advantages of minimally invasive laparoscopy and the open retropubic approach. We review the surgical techniques of LRP and EERPE, and highlight the indications, contraindications and outcomes.

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Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer

Ilić

Evans

Allan

et al. 2017

Cochrane Database of Systematic Reviews

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129

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Perioperative Complications of Laparoscopic Radical Prostatectomy: The Montsouris 3-Year Experience

Cited by 293 publications

References 10 publications

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

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

Technique of laparoscopic (endoscopic) radical prostatectomy

Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer

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