Laparoscopic and Robotic-Assisted Laparoscopic Radical Prostatectomy
There have been significant advances in laparoscopic skills and instrumentation since Schuessler and colleagues performed the first laparoscopic radical prostatectomy (LRP) in 1991 (1). Only nine LRPs were performed between 1991 and 1995. However, the surgery was difficult, with long operating times, and the laparoscopic approach for the treatment of prostate cancer was believed to offer no advantage over open surgery. In 1998, Guillonneau and colleagues reported their initial experience with the surgery with early results of the transperitoneal approach comparable to contemporary series of open radical prostatectomy (2 ). Since then, a number of centers have performed the LRP in increasing numbers with early results comparable to open surgery. However, LRP has not gained widespread popularity among urologists, owing to its technical demands, long operating times, and long learning curves.
KeywordsSeminal Vesicle Bladder Neck Radical Retropubic Prostatectomy Laparoscopic Radical Prostatectomy Endopelvic Fascia
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