[Radical prostatectomy in clinically localized prostate carcinoma. Pro laparoscopic approach]

Area of Science:

• Urology
• Minimally Invasive Surgery

Background:

• Laparoscopic radical prostatectomy (LRP) has emerged as a significant surgical technique.
• Extensive clinical experience informs the evaluation of its benefits and challenges.

Purpose of the Study:

• To describe the advantages and existing challenges of LRP.
• To assess the current status and future potential of LRP in surgical practice.

Main Methods:

• Systematic development and application of LRP techniques.
• Analysis of clinical outcomes, including morbidity, hospital stay, and convalescence.
• Comparative cost analysis with open radical prostatectomy.

Main Results:

• LRP demonstrates reduced trauma and blood loss, leading to decreased postoperative morbidity.
• Patients experience shorter hospital stays and faster recovery periods post-LRP.
• The average complication rate for LRP is 12%, indicating its transition from experimental to established surgery.
• While LRP incurs higher initial costs, these are offset by reduced morbidity and shorter hospitalizations.

Conclusions:

• LRP offers significant benefits in terms of patient recovery and reduced complications.
• Despite current challenges, advancements in laparoscopic technology are expected to enhance LRP's quality, precision, and safety.
• LRP is poised to become a surgical method of choice for radical prostatectomy.