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

World J Urol. 2008 Dec;26(6):571-80. doi: 10.1007/s00345-008-0328-2. Epub 2008 Sep 10.

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.

Publication types

  • Review

MeSH terms

  • Endoscopy / adverse effects
  • Humans
  • Intraoperative Complications / prevention & control*
  • Intraoperative Complications / therapy*
  • Laparoscopy / adverse effects
  • Male
  • Postoperative Complications / prevention & control*
  • Postoperative Complications / therapy*
  • Prostatectomy / adverse effects*
  • Prostatectomy / methods
  • Prostatic Neoplasms / surgery*