Transperitoneal laparoscopic radical prostatectomy: descending technique.

Area of Science:

• Urology
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Laparoscopic radical prostatectomy (LRP) has become a standard treatment for localized prostate cancer.
• Technical advancements have refined LRP procedures globally.
• Specialized centers commonly perform LRP.

Purpose of the Study:

• To present a specific technique for transperitoneal laparoscopic radical prostatectomy using a descending approach.
• To highlight the advantages of the transperitoneal approach in LRP.
• To compare perioperative morbidity and short-term efficacy with open procedures.

Main Methods:

• A five-trocar, transperitoneal laparoscopic radical prostatectomy technique is described.
• The approach is characterized by a descending trajectory.
• All surgical dissection and suturing are performed intracorporeally.

Main Results:

• The transperitoneal approach provides enhanced visual landmarks.
• A larger operative space and stable pneumoperitoneum are achieved.
• Short-term efficacy and perioperative morbidity are comparable to open radical prostatectomy.

Conclusions:

• The described transperitoneal descending approach is a viable technique for laparoscopic radical prostatectomy.
• This method offers potential benefits in terms of visualization and operative space.
• It demonstrates similar perioperative outcomes to traditional open surgery for prostate cancer.