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Proceedings Paper

Laparoscopic (endoscopic) radical prostatectomy: techniques and results
Author(s): Thomas Nelius M.D.; Werner T. W. de Riese M.D.; Frank Reiher M.D.; Tobias Lindenmeir M.D.; Stephanie Filleur; Ernst Peter Allhoff M.D.
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Paper Abstract

Laparoscopic radical prostatectomy (LRP) is a relatively new technique for treating organ-confined prostate cancer. Recent progress of laparoscopic/endoscopic techniques allow to perform these complex oncological procedure. Since the first description of LRP in the early 1990s the technique has undergone significant technical modifications. Two operation routes were mainly used: the transperitoneal LRP and the extraperitoneal endoscopic radical prostatectomy (EERPE). Here we review the surgical techniques of both operation routes, and highlight results, outcome and complications. The transperitoneal LRP and the EERPE can be used successfully and reproducibly, giving results comparable with those from the open retropubic procedure. Despite many advantages, transperitoneal LRP is associated with potential intraperitoneal complications. The technical improvements of the EERPE completely obviates these complications. The available data are encouraging and promising, but long-term oncological results will define the definitive role of these new techniques. We truly believe that minimally invasive surgery in treating localized prostate cancer has a bright future and that these techniques will continue to be developed.

Paper Details

Date Published: 25 April 2005
PDF: 8 pages
Proc. SPIE 5686, Photonic Therapeutics and Diagnostics, (25 April 2005); doi: 10.1117/12.590766
Show Author Affiliations
Thomas Nelius M.D., Otto-von-Guericke-Univ. Magdeburg (Germany)
Werner T. W. de Riese M.D., Texas Tech Univ. Health Sciences Ctr. (United States)
Frank Reiher M.D., Otto-von-Guericke-Univ. Magdeburg (Germany)
Tobias Lindenmeir M.D., Otto-von-Guericke-Univ. Magdeburg (Germany)
Stephanie Filleur, Otto-von-Guericke-Univ. Magdeburg (Germany)
Northwestern Univ. (United States)
Ernst Peter Allhoff M.D., Otto-von-Guericke-Univ. Magdeburg (Germany)

Published in SPIE Proceedings Vol. 5686:
Photonic Therapeutics and Diagnostics
Brian Jet-Fei Wong M.D.; Eugene A. Trowers M.D.; Kenton W. Gregory M.D.; Abraham Katzir; Nikiforos Kollias; Reza S. Malek M.D.; Henry Hirschberg M.D.; Kenneth Eugene Bartels D.V.M.; Steen J. Madsen; Lloyd P. Tate V.D.M.; Lawrence S. Bass M.D.; Werner T. W. de Riese; Karen M. McNally-Heintzelman, Editor(s)

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