Prevention and management of perioperative complications in laparoscopic and endoscopic radical prostatectomy.
BACKGROUND
Laparoscopic transperitoneal radical prostatectomy (LRP) and endoscopic extraperitoneal radical prostatectomy (EERPE) are established techniques for the management of localized prostate cancer in numerous specialized urologic centers worldwide.


RESULTS
The complication rates of LRP and EERPE are ranging between 2 and 17%. Rare but possible complications are vascular injuries, bowel injury, lymphocele formation, port-site hernia, anastomotic leakage, gas embolism and catheter obstruction and other rare events.


CONCLUSIONS
Prevention and management of complications requires high surgical expertise and adequate standardization of the technique.


METHODS
We herein review our experience with the endoscopic extraperitoneal radical prostatectomy in a series of 1,800 consecutive patients regarding the appearance of complications and their management.
Liatsikos
Evangelos
E
Department of Urology, University of Patras, Patras, Greece.
Rabenalt
Robert
R
Burchardt
Martin
M
Backhaus
Miguel-Ramirez
MR
Do
Minh
M
Dietel
Anja
A
Wasserscheid
Johanna
J
Constantinides
Costantinos
C
Kallidonis
Panagiotis
P
Truss
Michael C
MC
Herrmann
Thomas R
TR
Ganzer
Roman
R
Stolzenburg
Jens-Uwe
JU
D004724:Endoscopy / Q000009:adverse effects; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control* / Q000628:therapy*; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control* / Q000628:therapy*; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods; D011471:Prostatic Neoplasms / Q000601:surgery*
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