Laparoscopic and Robotic-Assisted Laparoscopic Radical Prostatectomy

  • Chandru P. Sundaram
  • Carl K. Gjertson
  • Michael O. Koch
Part of the Current Clinical Urology book series (CCU)


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.


Seminal Vesicle Bladder Neck Radical Retropubic Prostatectomy Laparoscopic Radical Prostatectomy Endopelvic Fascia 
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Copyright information

© Humana Press, a part of Springer Science+Business Media, LLC, a part of Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Chandru P. Sundaram
    • 1
  • Carl K. Gjertson
    • 2
  • Michael O. Koch
    • 3
  1. 1.Department of UrologyIndiana University School of MedicineIndianapolis
  2. 2.Division of UrologyUniversity of Connecticut Health CenterFarmington
  3. 3.Department of UrologyIndiana University Simon Cancer CenterIndianapolis

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