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Updated: Aug 9, 2026
Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
Published on: May 9, 2018
[Laparoscopic radical prostatectomy. Review of our first year]
Lluís Cecchini Rosell1, Joan Areal Calama, Josep M Saladié Roig
1Servicio de Urología y Cirugía del Trasplante, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, España. 289471cr@comb.es
Objectives:
To present our series of laparoscopic radical prostatectomy, comparing to the published results up to date.
Methods:
From november 2001 to november 2002, we have practiced 27 laparoscopic radical prostatectomies without lymphadenectomy. We have used the Montsouris technique with some modifications. All cases started by laparoscopy are included in the report.
Results:
Laparoscopic approach was indicated in 27 patients; 17 cases were completed and 10 converted to open surgery. Among the last 17 consecutive cases only two were converted. Mean operative time was 296 minutes (190-480 minutes, MAY: SD 60). Global morbidity was 18.5%, without severe complications, reoperations or mortality. Transfusion rate was 11%. There was not any incontinent patient and three patients developed an anastomostic stenosis. 57% of previously potent patients have erections with a follow-up over six months. Positive surgical margins incidence is 33% overall and 17.6% in laparoscopic cases. Only one of the patients with a follow-up above six months has a biological (PSA) recurrence (7%).
Conclusions:
Laparoscopic radical prostatectomy is feasible, reproducible and within reach of interested urologists. It may substitute, once sufficient experience is acquired, conventional surgery.
