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Laparoscopic radical prostatectomy: a European virus with global potentials
Jean J M C H De La Rosette1, Claude C Abbou, Jens Rassweiler
1Centre for Minimal Invasive Urology and Laparoscopy, UMC St Radboud, PO Box 9101, 6500 HB Nijmegen, The Netherlands. Jdelarosette@uro.azn.nl
Archivos Espanoles De Urologia
|September 13, 2002
Summary
Laparoscopic Radical Prostatectomy (LRP) is a feasible and reproducible technique in Europe. Functional and oncological outcomes appear comparable to open surgery, despite a learning curve.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- The adoption of Laparoscopic Radical Prostatectomy (LRP) in Europe is a developing area.
- Understanding the current European experience with LRP is crucial for surgical practice.
Purpose of the Study:
- To review the current status and outcomes of Laparoscopic Radical Prostatectomy (LRP) in Europe.
- To assess the feasibility, teachability, and reproducibility of LRP based on European experiences.
Main Methods:
- Systematic review of published peer-reviewed articles.
- Analysis of European surgical groups' experience with Laparoscopic Radical Prostatectomy.
Main Results:
- Three LRP approaches exist: transperitoneal (two variations) and totally extraperitoneal.
- Bleeding and transfusion rates may be higher in one transperitoneal approach.
- Continence and potency rates at one year are comparable to open surgery; positive margin rates vary (2-49%).
Conclusions:
- Laparoscopic Radical Prostatectomy (LRP) is feasible, teachable, and reproducible in Europe.
- Early oncological and functional results suggest comparability with open Retropubic Radical Prostatectomy.
- A significant learning curve impacts complication rates, necessitating careful case selection.