Prevention and management of perioperative complications in laparoscopic and endoscopic radical prostatectomy.

Evangelos Liatsikos, Robert Rabenalt, Martin Burchardt, Miguel-Ramirez Backhaus, Minh Do, Anja Dietel, Johanna Wasserscheid, Costantinos Constantinides, Panagiotis Kallidonis, Michael C Truss, Thomas R Herrmann, Roman Ganzer, Jens-Uwe Stolzenburg

Journal: World journal of urology 2009;26(6):571-80

PMID: 18781306

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Abstract

INTRODUCTION

Laparoscopic transperitoneal radical prostatectomy (LRP) and endoscopic extraperitoneal radical prostatectomy (EERPE) are established techniques for the management of localized prostate cancer in numerous specialized urologic centers worldwide.

RESULTS

The complication rates of LRP and EERPE are ranging between 2 and 17%. Rare but possible complications are vascular injuries, bowel injury, lymphocele formation, port-site hernia, anastomotic leakage, gas embolism and catheter obstruction and other rare events.

CONCLUSION

Prevention and management of complications requires high surgical expertise and adequate standardization of the technique.

MATERIALS AND METHODS

We herein review our experience with the endoscopic extraperitoneal radical prostatectomy in a series of 1,800 consecutive patients regarding the appearance of complications and their management.

Address: Department of Urology, University of Patras, Patras, Greece.

DOI: 10.1007/s00345-008-0328-2