Endoscopic Extraperitoneal Radical Prostatectomy by Stefano Papadoukakis MD (auth.), Jens-Uwe Stolzenburg,

By Stefano Papadoukakis MD (auth.), Jens-Uwe Stolzenburg, Matthew T. Gettman, Evangelos N. Liatsikos (eds.)

Endoscopic/laparoscopic extraperitoneal radical prostatectomy (EERPE) has develop into proven as a conceivable healing choice for localized prostate cancer.

This e-book is an atlas, no longer a standard textbook. Its publications the urologist step-by-step via EERPE, allowing the practitioner to hopefully and effectively practice this hugely standardized technique.

Every level of the method is gifted with a number of endoscopic photographs and diagrams in order that practitioners can appreciate and stick with every one person surgical step. problems and their administration are defined in detail.

Special chapters are dedicated to the anatomy of the prostate, anesthesiology concerns, and postoperative administration and training.

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2) we incise the endopelvic fascia only ventrally, medial to the puboprostatic ligaments. Then, we try to dissect on the prostatic capsule, freeing the prostate laterally from its thin surrounding fascia (periprostatic fascia) containing small vessels and nerves. The difference of our technique from the Vattikuti method is the preservation of all lateral enveloping periprostatic fascias. We only perform an anterior incision of the periprostatic fascia when carrying out an intrafascial nerve-sparing technique [16].

Overstaged patients tend to have a favorable prognosis, while most pT3b patients developed early disease progression [1]. According to the 2006 EAU guidelines on prostate cancer the overall PSA-free survival rate is approximately 20% after 5 years for clinical T3 cancer patients [1]. Tumor Gleason score has a clear impact on long-term outcome, even though biopsy and specimen findings often do not concur. Several authors advocate that radical prostatectomy for clinical T3a cancer with a PSA <10 ng/ml can reach a 5-year PSAfree survival rate of approximately 60% (European Association of Urology Guidelines, 2006 edition).

C. Truss as a therapeutic alternative for patients with clinical T3a carcinoma of the prostate. Both patients with clinically overstaged tumors (pT2) and those with pT3a tumors can benefit from surgical treatment [1]. Laparoscopic/endoscopic radical prostatectomy for clinical T3 cancer for the prostate requires extensive surgical experience and should be avoided by beginners. 1 Nerve-sparing EERPE Preservation of normal erectile function is possible in selected patients by unilateral or bilateral preservation of the neurovascular bundles.

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