title: [Modified transperitoneal laparoscopic radical prostatectomy: technique and clinical outcomes].
abstract: OBJECTIVE
  To evaluate the technique and clinical outcomes of modified transperitoneal laparoscopic radical prostatectomy.
  
  
  METHODS
  A total of 105 patients received the operation with age ranging from 51 to 73 years from January 2008 to June 2010. Mean level of serum prostate specific antigen was 13.6 µg/L and mean prostatic volume was 45 ml. Pathological studies of biopsy confirmed the prostate carcinoma with Gleason score 6-8. Radionuclide bone scan revealed no metastasis. Based on previously retroperitoneal radical prostatectomy, modified technique was applied involving surgical approach, bladder neck dissection and vesicourethral anastomosis.
  
  
  RESULTS
  Mean operative time was 93 min (65 - 150 min). Intraoperative blood loss was 115 ml (50 - 400 ml). No complication of bowl injury occurred. Positive surgical margin was present in 24 patients. Normal continence were seen in 64 patients after catheter removed. Recovery of incontinence within 3 months was seen in 33 patients and 3 to 12 months in 5 patients respectively. Three patients with incontinence were still in the follow-up.
  
  
  CONCLUSIONS
  Transperitoneal laparoscopic radical prostatectomy provides large working space and clear anatomic exposure. Higher efficiency and lower complication rate are obtained through modified laparoscopic technique involving seminal vesicle isolation, bladder neck dissection and vesicourethral anastomosis.
authors.affiliation: Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
authors.forename: Peng-fei
authors.initials: PF
authors.lastname: Shao
authors.forename: Chang-jun
authors.initials: CJ
authors.lastname: Yin
authors.forename: Xiao-xin
authors.initials: XX
authors.lastname: Meng
authors.forename: Xiao-bing
authors.initials: XB
authors.lastname: Ju
authors.forename: Qiang
authors.initials: Q
authors.lastname: Lü
authors.forename: Jie
authors.initials: J
authors.lastname: Li
authors.forename: Chao
authors.initials: C
authors.lastname: Qin
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.forename: Min
authors.initials: M
authors.lastname: Gu
authors.forename: Li-xin
authors.initials: LX
authors.lastname: Hua
authors.forename: Zheng-quan
authors.initials: ZQ
authors.lastname: Xu
mesh_terms: D034841:Abdominal Cavity / Q000601:surgery*; D000368:Aged; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies