title: [Surgery of prostate cancer: Technical principles and perioperative complications].
abstract: OBJECTIVE
  To describe the surgical procedure of localized prostate cancer treated by radical prostatectomy.
  
  
  METHODS
  Bibliography search was performed from the Medline database (National Library of Medicine, PubMed) selected according to the scientific relevance. The research was focused on historic of radical prostatectomy, surgical anatomy, surgical technics of radical prostatectomy and lymph nodes excision, and complications.
  
  
  RESULTS
  During the last 30 years, evolution of radical prostatectomy was important, from open to mini-invasive surgery with or without robotic assistance. Anatomical knowledge of the prostate was useful to describe the different anatomical structure as urinary sphincter and fascias, and to develop different procedure of neurovascular bundles preservation to ameliorate functional results. Complications are well-known and their taking-over more precise. Results of radical prostatectomy depend less of the surgical approach but more of the attitude of the surgeon according to the characteristics of the tumor and the functional status of the patient.
  
  
  CONCLUSIONS
  Radical prostatectomy is an elaborate and challenging procedure when carcinological risk balances with functional results. Nevertheless, complications are quite rare. Improvement of results is due to adequation between surgical procedure and oncological and functional status.
authors.affiliation: Service d'urologie et de transplantation rénale et pancréatique, CHU Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France. Electronic address: laurent.salomon@aphp.fr.
authors.forename: L
authors.initials: L
authors.lastname: Salomon
authors.affiliation: Service d'urologie, institut mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Rozet
authors.affiliation: Département d'urologie-andrologie-transplantation rénale, CHU Rangueil, 1, avenue Jean-Poulhès, 31059 Toulouse cedex 9, France.
authors.forename: M
authors.initials: M
authors.lastname: Soulié
mesh_terms: D003663:Decision Trees; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*
keywords: Anatomie; Anatomy; Cancer de la prostate; Chirurgie; Complications; Continence; Curage ganglionnaire; Laparoscopic; Laparoscopique; Lymph node excision; Neurovascular bundles preservation; Perineal approach; Prostate cancer; Prostatectomie totale; Préservation neuro-vasculaire; Périnéale; Radical prostatectomy; Retropubic; Robot-assisted; Robot-assistée; Surgery; Voie rétropubienne