title: Does the extraperitoneal laparoscopic approach improve the outcome of radical prostatectomy?
abstract: Laparoscopic radical prostatectomy (LRPE) became the operative procedure of choice for patients with clinically localized prostate cancer in selected urologic centers around the world. Principal advantages are the minimal invasive nature of the procedure, a superior visualization of the operative field because of the magnification of the optical system, an exact and watertight anastomosis, the possibility of early catheter removal, and a potentially reduced amount of blood loss. Recent data show that oncologic outcome is not compromised by the minimal invasive nature of the procedure. However, a major drawback of LRPE is the transperitoneal route of access to the extraperitoneal organ of the prostate. Therefore, principal disadvantages of LRPE are potential intraperitoneal complications. Endoscopic extraperitoneal radical prostatectomy is a further advancement of minimal invasive surgery because it overcomes the limitations of LRPE by the strictly extraperitoneal route of access, combining the advantages of minimal invasive surgery with the advantages of an extraperitoneal procedure. This article reviews the literature on minimally invasive (laparoscopic and endoscopic-extraperitoneal) radical prostatectomy.
authors.affiliation: University of Leipzig, Department of Urology, Liebigstrasse 20, 04103 Leipzig, Germany. stolj@medizin.uni-leipzig.de
authors.forename: Jens-Uwe
authors.initials: JU
authors.lastname: Stolzenburg
authors.forename: Michael C
authors.initials: MC
authors.lastname: Truss
authors.forename: Athanasios
authors.initials: A
authors.lastname: Bekos
authors.forename: Minh
authors.initials: M
authors.lastname: Do
authors.forename: Robert
authors.initials: R
authors.lastname: Rabenalt
authors.forename: Christian G
authors.initials: CG
authors.lastname: Stief
authors.forename: Andras
authors.initials: A
authors.lastname: Hoznek
authors.forename: Clément-Claude
authors.initials: CC
authors.lastname: Abbou
authors.forename: Jochen
authors.initials: J
authors.lastname: Neuhaus
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Dorschner
mesh_terms: D006801:Humans; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods*; D008297:Male; D010537:Peritoneum / Q000601:surgery*; D011183:Postoperative Complications; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000601:surgery; D016896:Treatment Outcome