title: Complications of endoscopic extraperitoneal radical prostatectomy (EERPE): prevention and management.
abstract: Endoscopic extraperitoneal radical prostatectomy (EERPE) is a further advancement of minimal invasive surgery as it overcomes the limitations of laparoscopic (transperitoneal) RPE by the strictly extraperitoneal route of access combining the advantages of minimal invasive surgery with the advantages of an extraperitoneal procedure. Endoscopic extraperitoneal radical prostatectomy has many advantages but is not without complications. The aim of this review article is to describe the most common complications of this procedure. Complications associated with endoscopic extraperitoneal radical prostatectomy are: vascular injury--bleeding--haematoma, bowel injury, lymphocele, injury to the bladder--ureter, port site hernia, anastomotic leakage--stricture, obturator nerve injury--paralysis, gas embolism, catheter blockage, and miscellaneous like perineal pain, pubic osteitis, infection- urosepsis. The present review paper focuses on the identification and management of these complications The incidence of most complications directly correlates with the surgeons' experience, and the various complications are related to technical errors rather than to the technique itself. The laparoscopist performing endoscopic/ laparoscopic radical prostatectomy should be aware of all these complications. He should be able to recognise promptly, treat efficiently, and ideally prevent these complications.
authors.affiliation: Department of Urology, University of Leipzig, Liebigstrasse 20, 04103 Leipzig, Germany. stolj@medizin.uni-leipzig.de
authors.forename: Jens-Uwe
authors.initials: JU
authors.lastname: Stolzenburg
authors.forename: Robert
authors.initials: R
authors.lastname: Rabenalt
authors.forename: Minh
authors.initials: M
authors.lastname: Do
authors.forename: Benjamin
authors.initials: B
authors.lastname: Lee
authors.forename: Michael C
authors.initials: MC
authors.lastname: Truss
authors.forename: Alan
authors.initials: A
authors.lastname: McNeill
authors.forename: Martin
authors.initials: M
authors.lastname: Burchardt
authors.forename: Udo
authors.initials: U
authors.lastname: Jonas
authors.forename: Evangelos N
authors.initials: EN
authors.lastname: Liatsikos
mesh_terms: D004724:Endoscopy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control*; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods; D011471:Prostatic Neoplasms / Q000601:surgery*; D016896:Treatment Outcome