[Proceedings in the implantation of a laparoscopic radical prostatectomy program].
OBJECTIVE
To describe our proceedings in the implatation of our laparoscopic radical prostatectomy program (LRP).


METHODS
Our working agenda and step-oriented implementation of our LRP program are shown.


RESULTS
Four main steps were scheduled to acomplish this goal. These were: Preparatory phase, programed open conversion, development and analysis. Overlapping of each of these phase occured although their major content run on a time-basis. After basic skills acquisition and updating of our equipment we moved into the fixed-time open conversion we allowed us to progresively improve our performance without putting our patients into risks. Operative time of this phase exceeds that of our open cases in 63 minutes and no major complications took place. A rapid decrease in the operative time was noted after the first 15 cases (197' vs 264').


CONCLUSIONS
Implantation of a program of LRP can be done safely with a pre-planned program tailored to the needs and characteristics of each group and institution.
Llorente Abarca
C
C
Servicio de Urología, Fundación Hospital Alcorcón, Madrid.
Carrera Puerta
C
C
Sánchez Encinas
M
M
de la Morena Gallego
J M
JM
González Chamorro
F
F
Martínez Hurtado
J
J
Abbad
D Rengifo
DR
D006801:Humans; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000379:methods; D007902:Length of Stay; D008297:Male; D011182:Postoperative Care; D015397:Program Evaluation; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D016896:Treatment Outcome