[Extraperitoneal laparoscopic radical prostatectomy (report of 5 cases)].
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.
Gao
Zhen-Li
ZL
Department of Urology, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, China. llnst@hotmail.com
Wu
Ji-Tao
JT
Wang
Jian-Ming
JM
Men
Chang-Ping
CP
Zhang
Peng
P
Wang
Lin
L
Shi
Lei
L
Sun
De-Kang
DK
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