Laparoscopic radical prostatectomy: initial short-term experience

Urology
W W SchuesslerL R Kavoussi

Abstract

To determine the feasibility and efficacy of a laparoscopic approach to the radical retropubic prostatectomy (RRP). A transperitoneal laparoscopic technique was developed to perform an RRP. Intra-abdominal access was obtained through five 10-mm trocars. After dissection of the prostate, the urethrovesical anastomosis was created via a transvesical approach. The prostate was removed by extending the umbilical incision. Between September 1991 and May 1995, nine laparoscopic RRPs were performed. The operative time averaged 9.4 hours. Only 1 of 9 patients had a positive surgical margin that involved the urethra. Six of 9 patients were completely continent postoperatively. Of the 4 patients who were potent preoperatively, 2 continued to have erections. There were three complications: cholecystitis, thrombophlebitis associated with a pulmonary embolism, and a small bowel hernia into a trocar site. Laparoscopic radical prostatectomy is feasible but currently offers no advantage over open surgery with regard to tumor removal, continence, potency, length of stay, convalescence, and cosmetic result.

Citations

Jun 29, 2000·Medical Oncology·S N PentyalaS A Khan
Jan 31, 2008·Der Urologe. Ausg. A·H John
Mar 18, 2006·World Journal of Urology·Francois RozetGuy Vallancien
Apr 12, 2006·World Journal of Urology·Ketan K BadaniMani Menon
Mar 21, 2013·World Journal of Urology·Michael A Liss, A Karim Kader
Feb 3, 2011·Langenbeck's Archives of Surgery·Gencay HatibogluMarkus Hohenfellner
Apr 26, 2007·Journal of Cancer Research and Clinical Oncology·Xiao-Yong PuHuai-Peng Wang
Apr 6, 2005·Surgical Endoscopy·J B BasilloteR V Clayman
Sep 1, 2005·International Urology and Nephrology·Ashok K HemalMani Menon
Aug 28, 2007·Current Treatment Options in Oncology·Kevin C ZornArieh L Shalhav
Jun 27, 2002·Current Urology Reports·A Krongrad
Jun 27, 2002·Current Urology Reports·Isao Hara, Gaku Kawabata
Mar 22, 2003·Current Urology Reports·Ashutosh Tewari, Mani Menon
Mar 19, 2004·Current Urology Reports·Jens-Uwe StolzenburgWolfgang Dorschner
Jun 15, 2006·Current Urology Reports·Matthew T Gettman, Michael L Blute
Sep 4, 2008·Current Urology Reports·Stephen A Boorjian, Matthew T Gettman
Jun 5, 2013·Indian Journal of Surgical Oncology·Timil H PatelAshok K Hemal
May 7, 2013·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Peter Kevin O'ShaughnessyAdrian Esterman
Dec 4, 2003·European Urology·Laurent SalomonClément-Claude Abbou
Feb 15, 2005·Urology·Jens-Uwe StolzenburgMichael C Truss
May 11, 2005·Urology·Ioannis M VarkarakisDan Stoianovici
Jan 27, 2000·The Journal of Urology·B Guillonneau, G Vallancien
Apr 15, 2000·European Urology·F JacobC C Abbou
Apr 3, 2003·Urology·Roland F Van VelthovenRalph V Clayman
Aug 2, 2003·Urology·Aristotelis G AnastasiadisClement-Claude Abbou
Aug 23, 2002·Critical Reviews in Oncology/hematology·Bertrand GuillonneauGuy Vallancien
Oct 3, 2003·Journal of the American College of Surgeons·Elise PererRalph V Clayman
Feb 14, 2006·Nature Clinical Practice. Urology·Thomas E Ahlering
Feb 14, 2006·Nature Clinical Practice. Urology·N Peter Wiklund
Jan 22, 2003·International Journal of Urology : Official Journal of the Japanese Urological Association·Isao HaraSadao Kamidono

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.