title: Transperitoneal laparoscopic radical prostatectomy: descending technique.
abstract: Laparoscopic radical prostatectomy has evolved over the last decade to become a common treatment for clinically localized prostate cancer at specialized institutions. During that time, various technical modifications have been pioneered by groups throughout the world. We present our technique of transperitoneal laparoscopic radical prostatectomy through a descending approach. We believe that the transperitoneal approach affords better visual landmarks, a larger operative space, and a stable pneumoperitoneum. Our technique employs a five-trocar approach to the prostate. All dissection and suturing is performed intracorporeally. The perioperative morbidity and short-term efficacy are similar to those of the open procedure.
authors.affiliation: Lahey Clinic Medical Center Institute of Urology, Burlington, Massachusetts 01805, USA.
authors.forename: Harrison K
authors.initials: HK
authors.lastname: Rhee
authors.forename: Veronica
authors.initials: V
authors.lastname: Triaca
authors.forename: Andrea
authors.initials: A
authors.lastname: Sorcini
authors.forename: Ingolf A
authors.initials: IA
authors.lastname: Tuerk
mesh_terms: D000328:Adult; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery*; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D016896:Treatment Outcome