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Laparoscopic Radical Prostatectomy: Techniques and Complications

  • Chapter
Endourological Management of Urogenital Carcinoma

Part of the book series: Recent Advances in Endourology ((ENDOUROLOGY,volume 7))

  • 389 Accesses

Summary

Laparoscopic radical prostatectomy (LRP) has gained increasing importance in the laparoscopic urologic oncology field and has become an established treatment for localized prostate cancer. The indications for laparoscopic radical prostatectomy are the same as those for the open technique. The advantages of the laparoscopic approach are a magnified view of the anatomic structures and a decreased venous bleeding in the surgical field allowing an accurate dissection of the prostate and neurovascular bundles. The LRP technique is well standardized. Five trocars are used; the patient is placed in the Trendelenburg position. The different steps of the operation are: dissection of the seminal vesicles, via a direct approach, after incising the peritoneum above Douglas’ cul-de-sac; creation of a space between the rectum and prostate behind Denonvilliers’ fascia; release of the bladder to approach the space of Retzius; opening of the endopelvic fascia and intracorporeal ligature of the dorsal vascular complex; dissection of the prostate from the bladder, by close dissection of the bladder neck; control of the pedicles and dissection of the neurovascular bundles; sectioning of the urethra and removal of the prostate in a bag, urethrovesical anastomosis performed with interrupted intracorporeal sutures, Foley catheter installation; placement of an aspiration drain; and closure. Knowledge of the prostatic anatomy, advanced laparoscopic skills, and expertise in surgical oncology are essential to provide optimal oncologic outcomes while maintaining the highest standards of life quality.

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References

  1. Schuessler WW, Schulam PG, Clayman RV, Kavoussi LR (1997) Laparoscopic radical prostatectomy: initial short-term experience. Urology 50:854–857

    Article  CAS  PubMed  Google Scholar 

  2. Raboy A, Ferzli G, Albert P (1997) Initial experience with extraperitoneal endoscopic radical retropubic prostatectomy. Urology 50:849–853

    Article  CAS  PubMed  Google Scholar 

  3. Guillonneau B, Cathelineau X, Barret E, Rozet F, Vallancien G (1998) [Laparoscopic radical prostatectomy. Preliminary evaluation after 28 interventions]. Presse Med 27:1570–1574

    CAS  PubMed  Google Scholar 

  4. Guillonneau B, Cathelineau X, Barret E, Rozet F, Vallancien G (1999) Laparoscopic radical prostatectomy: technical and early oncological assessment of 40 operations. Eur Urol 36:14–20

    Article  CAS  PubMed  Google Scholar 

  5. Guillonneau B, Cathelineau X, Doublet JD, Baumert H, Vallancien G (2002) Laparoscopic radical prostatectomy: assessment after 550 procedures. Crit Rev Oncol Hematol 43:123–133

    PubMed  Google Scholar 

  6. Guillonneau B, Cathelineau X, Doublet JD, Vallancien G (2001) Laparoscopic radical prostatectomy: the lessons learned. J Endourol 15:441–445; discussion 447–448

    Article  CAS  PubMed  Google Scholar 

  7. Guillonneau B, el-Fettouh H, Baumert H, Cathelineau X, Doublet JD, Fromont G, Vallancien G (2003) Laparoscopic radical prostatectomy: oncological evaluation after 1,000 cases at Montsouris Institute. J Urol 169:1261–1266

    CAS  PubMed  Google Scholar 

  8. Guillonneau B, Rozet F, Barret E, Cathelineau X, Vallancien G (2001) Laparoscopic radical prostatectomy: assessment after 240 procedures. Urol Clin North Am 28:189–202

    CAS  PubMed  Google Scholar 

  9. Vallancien G, Guillonneau B, Cathelineau X, Baumert H, Doublet JD (2002) [Localized prostatic cancer: treatment with laparoscopic radical prostatectomy: study with 841 cases]. Bull Acad Natl Med 186:117–123; discussion 123–114

    PubMed  Google Scholar 

  10. Bollens R, Vanden Bossche M, Roumeguere T, Damoun A, Ekane S, Hoffmann P, Zlotta AR, Schulman CC (2001) Extraperitoneal laparoscopic radical prostatectomy. Results after 50 cases. Eur Urol 40:65–69

    Article  CAS  PubMed  Google Scholar 

  11. Dubernard P, Benchetrit S, Chaffange P, Hamza T, Van Box Som P (2003) [Retrograde extraperitoneal laparoscopic prostatectomy (R.E.I.P). Simplified technique (based on a series of 143 cases)]. Prog Urol 13:163–174

    PubMed  Google Scholar 

  12. Hoznek A, Antiphon P, Borkowski T, Gettman MT, Katz R, Salomon L, Zaki S, de la Taille A, Abbou CC (2003) Assessment of surgical technique and perioperative morbidity associated with extraperitoneal versus transperitoneal laparoscopic radical prostatectomy. Urology 61:617–622

    Article  PubMed  Google Scholar 

  13. Rassweiler J, Marrero R, Hammady A, Erdogru T, Teber D, Frede T (2004) Transperitoneal laparoscopic radical prostatectomy: ascending technique. J Endourol 18:593–599; discussion 599–600

    Article  CAS  PubMed  Google Scholar 

  14. Rassweiler J, Sentker L, Seemann O, Hatzinger M, Rumpelt HJ (2001) Laparoscopic radical prostatectomy with the Heilbronn technique: an analysis of the first 180 cases. J Urol 166:2101–2108

    Article  CAS  PubMed  Google Scholar 

  15. Stolzenburg JU, Do M, Pfeiffer H, Konig F, Aedtner B, Dorschner W (2002) The endoscopic extraperitoneal radical prostatectomy (EERPE): technique and initial experience. World J Urol 20:48–55

    Article  PubMed  Google Scholar 

  16. Stolzenburg JU, Do M, Rabenalt R, Pfeiffer H, Horn L, Truss MC, Jonas U, Dorschner W (2003) Endoscopic extraperitoneal radical prostatectomy: initial experience after 70 procedures. J Urol 169:2066–2071

    Article  PubMed  Google Scholar 

  17. Touijer AK, Guillonneau B (2004) Laparoscopic radical prostatectomy. Urol Oncol Semin Orig Invest 22:133–138

    Google Scholar 

  18. Dellinger EP, Gross PA, Barrett TL, Krause PJ, Martone WJ, McGowan JE Jr, Sweet RL, Wenzel RP (1994) Quality standard for antimicrobial prophylaxis in surgical procedures. The Infectious Diseases Society of America. Infect Control Hosp Epidemiol 15:182–188

    CAS  PubMed  Google Scholar 

  19. Waddell TK, Rotstein OD (1994) Antimicrobial prophylaxis in surgery. Committee on Antimicrobial Agents, Canadian Infectious Disease Society. Cmaj 151:925–931

    CAS  PubMed  Google Scholar 

  20. Colwell CW Jr (2003) Dosing and timing of low-molecular-weight heparin thromboprophylaxis in total hip arthroplasty. Orthopedics 26:1155–1161; quiz 1162–1153

    PubMed  Google Scholar 

  21. Howard PA (1997) Dalteparin: a low-molecular-weight heparin. Ann Pharmacother 31:192–203

    CAS  PubMed  Google Scholar 

  22. Beebe DS, McNevin MP, Crain JM, Letourneau JG, Belani KG, Abrams JA, Goodale RL (1993) Evidence of venous stasis after abdominal insufflation for laparoscopic cholecystectomy. Surg Gynecol Obstet 176:443–447

    CAS  PubMed  Google Scholar 

  23. Cathelineau X, Cahill D, Widmer H, Rozet F, Baumert H, Vallancien G, Joseph JV, Patel HR (2004) Transperitoneal or extraperitoneal approach for laparoscopic radical prostatectomy: a false debate over a real challenge. J Urol 171:714–716

    Article  CAS  PubMed  Google Scholar 

  24. Joseph JV, Patel HR (2004) Transperitoneal or extraperitoneal approach for laparoscopic radical prostatectomy: a false debate over a real challenge. J Urol 172:1545

    PubMed  Google Scholar 

  25. Van Velthoven RF, Ahlering TE, Peltier A, Skarecky DW, Clayman RV (2003) Technique for laparoscopic running urethrovesical anastomosis: the single knot method. Urology 61:699–702

    PubMed  Google Scholar 

  26. Hunter KF, Moore KN, Cody DJ, Glazener CM (2004) Conservative management for postprostatectomy urinary incontinence. Cochrane Database Syst Rev: CD001843

    Google Scholar 

  27. Moul JW (1998) Pelvic muscle rehabilitation in males following prostatectomy. Urol Nurs 18:296–301

    CAS  PubMed  Google Scholar 

  28. Van Kampen M, De Weerdt W, Van Poppel H, De Ridder D, Feys H, Baert L (2000) Effect of pelvic-floor re-education on duration and degree of incontinence after radical prostatectomy: a randomised controlled trial. Lancet 355:98–102

    PubMed  Google Scholar 

  29. Raina R, Lakin MM, Agarwal A, Sharma R, Goyal KK, Montague DK, Klein E, Zippe CD (2003) Long-term effect of sildenafil citrate on erectile dysfunction after radical prostatectomy: 3-year follow-up. Urology 62:110–115

    PubMed  Google Scholar 

  30. Zippe CD, Kedia AW, Kedia K, Nelson DR, Agarwal A (1998) Treatment of erectile dysfunction after radical prostatectomy with sildenafil citrate (Viagra). Urology 52:963–966

    Article  CAS  PubMed  Google Scholar 

  31. Zippe CD, Raina R, Thukral M, Lakin MM, Klein EA, Agarwal A (2001) Management of erectile dysfunction following radical prostatectomy. Curr Urol Rep 2:495–503

    CAS  PubMed  Google Scholar 

  32. Guillonneau B, Rozet F, Cathelineau X, Lay F, Barret E, Doublet JD, Baumert H, Vallancien G (2002) Perioperative complications of laparoscopic radical prostatectomy: the Montsouris 3-year experience. J Urol 167:51–56

    PubMed  Google Scholar 

  33. Guillonneau B, Gupta R, El Fettouh H, Cathelineau X, Baumert H, Vallancien G (2003) Laparoscopic management of rectal injury during laparoscopic radical prostatectomy. J Urol 169:1694–1696

    CAS  PubMed  Google Scholar 

  34. Lampert R, Weih EH, Breucking E, Kirchhoff S, Lazica B, Lang K (1995) Postoperative bilateral compartment syndrome resulting from prolonged urological surgery in lithotomy position. Serum creatine kinase activity (CK) as a warning signal in sedated, artificially respirated patients. Anaesthesist 44:43–47

    Article  CAS  PubMed  Google Scholar 

  35. Arai Y, Egawa S, Terachi T, Suzuki K, Gotoh M, Kawakita M, Tanaka M, Terada N, Baba S, Okumura K, Hayami S, Ono Y, Matsuda T, Naito S (2003) Morbidity of laparoscopic radical prostatectomy: summary of early multi-institutional experience in Japan. Int J Urol 10:430–434

    PubMed  Google Scholar 

  36. Spaliviero M, Steinberg AP, Kaouk JH, Desai MM, Hammert WC, Gill IS (2004) Laparoscopic injury and repair of obturator nerve during radical prostatectomy. Urology 64:1030

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, Sidney Kimmel Center for Prostate and Urologic Cancers, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY, 10021, USA

    Fernando Pablo Secin, Nicholas Karanikolas, Karim Touijer & Bertrand Guillonneau

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  1. Fernando Pablo Secin
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  2. Nicholas Karanikolas
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  3. Karim Touijer
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  4. Bertrand Guillonneau
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Editor information

Editors and Affiliations

  1. Department of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Seiji Naito M.D., Ph.D. (Professor and Chairman) (Professor and Chairman)

  2. Department of Urology, Nara Medical University, 840 Shijyocho, Kashihara, Nara, 634-8522, Japan

    Yoshihiko Hirao M.D., Ph.D. (Professor and Chairman) (Professor and Chairman)

  3. Surgical Science Urology, Tokai University School of Medicine, Bohseidai, Isehara, Kanagawa, 259-1193, Japan

    Toshiro Terachi M.D., Ph.D. (Professor and Chairman) (Professor and Chairman)

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© 2006 The Japanese Society of Endourology and ESWL

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Secin, F.P., Karanikolas, N., Touijer, K., Guillonneau, B. (2006). Laparoscopic Radical Prostatectomy: Techniques and Complications. In: Naito, S., Hirao, Y., Terachi, T. (eds) Endourological Management of Urogenital Carcinoma. Recent Advances in Endourology, vol 7. Springer, Tokyo. https://doi.org/10.1007/4-431-27786-2_9

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  • DOI: https://doi.org/10.1007/4-431-27786-2_9

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-27785-9

  • Online ISBN: 978-4-431-27786-6

  • eBook Packages: MedicineMedicine (R0)

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