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Laparoscopic radical prostatectomy: the Montsouris technique
1Department of Urology, Institut Mutualiste Montsouris, University Pierre et Marie Curie, Paris, France.
The Journal of Urology
|May 8, 2000
Summary
This study details a standardized laparoscopic radical prostatectomy technique, showing it is a feasible and reproducible procedure for localized prostate cancer. The minimally invasive approach offers favorable short-term outcomes, making it a viable alternative to open surgery.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Laparoscopic radical prostatectomy (LRP) has gained traction for treating localized prostate cancer.
- Institutions are increasingly adopting LRP based on accumulating surgical experience and favorable outcomes.
Purpose of the Study:
- To describe a standardized technique for laparoscopic radical prostatectomy.
- To present the short-term outcomes of 260 consecutive LRP cases.
Main Methods:
- A standardized, nonincisional transperitoneal LRP technique was developed by two experienced urologists.
- The procedure involved 5 port placements and was performed in 7 standardized steps using a voice-controlled robot.
- Urethrovesical anastomosis was achieved with intracorporeally tied sutures.
Main Results:
- The average operating time for the last 120 cases was approximately 3 hours.
- Estimated blood loss averaged 250 ml with a transfusion rate under 1% and a 0% conversion rate.
- Patients experienced minimal postoperative pain and were discharged without catheterization by postoperative day 3.
Conclusions:
- Laparoscopic radical prostatectomy is a feasible and reproducible surgical option for localized prostate cancer.
- The standardized technique has proven effective and has replaced the traditional retropubic approach in the institution's practice.