title: [Extraperitoneal laparoscopic radical prostatectomy (report of 5 cases)].
abstract: OBJECTIVE
  To discuss the clinical experience of laparoscopic radical prostatectomy by extraperitoneal approach.
  
  
  METHODS
  Five patients with localized prostate cancer underwent laparoscopic radical prostatectomy by extraperitoneal approach. The surgical procedure included the excision of the prostate, seminal vesicles, ampulla ductus deferentis and part of the bladder neck, followed by urethrovesical anastomosis.
  
  
  RESULTS
  All the operations were successful. The mean operation time was 350 minutes (ranging from 270 to 420 mm); the mean estimated blood loss was 480 ml (ranging from 250 to 600 ml). The bowel activity was recovered with 48 hours after surgery. The patients were ambulant between the 2nd and 3rd postoperative days. The mean hospital stay was 8. 5 days (ranging from 7 to 12 days). The 3-8 months follow-up found no incontinence of urine; of the 3 preoperatively potent patients, 2 were able to have sexual intercourse; strictured stoma was reported in only 1 case.
  
  
  CONCLUSIONS
  The extraperitoneal laparoscopic radical prostatectomy, keeping the procedure out of the peritoneal cavity, with small incision and rapid recovery, may be considered as a promising surgical method for patients with localized prostate cancer.
authors.affiliation: Department of Urology, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, China. llnst@hotmail.com
authors.forename: Zhen-Li
authors.initials: ZL
authors.lastname: Gao
authors.forename: Ji-Tao
authors.initials: JT
authors.lastname: Wu
authors.forename: Jian-Ming
authors.initials: JM
authors.lastname: Wang
authors.forename: Chang-Ping
authors.initials: CP
authors.lastname: Men
authors.forename: Peng
authors.initials: P
authors.lastname: Zhang
authors.forename: Lin
authors.initials: L
authors.lastname: Wang
authors.forename: Lei
authors.initials: L
authors.lastname: Shi
authors.forename: De-Kang
authors.initials: DK
authors.lastname: Sun
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D012669:Seminal Vesicles / Q000601:surgery; D012671:Seminiferous Tubules / Q000601:surgery