Laparoscopic radical prostatectomy

Laparoscopic radical prostatectomy is a relatively new approach to the surgical treatment of localized prostate cancer. Since its inception, the technique, however challenging, is undergoing continuous refinements which make it today a feasible, reproducible, and teachable operation practiced by urologists worldwide. The advantages of the laparoscopic approach are a magnified view of the anatomic structures, and a decreased venous bleeding in the surgical field allowing an accurate dissection of the prostate and neurovascular bundles. These advantages translate to a low positive surgical margin rate, low morbidity profile, and favorable postoperative quality of life outcomes. However, since the technique has only been performed for the past 6 years, long term cancer control and functional results data following laparoscopic radical prostatectomy are not available. successful laparoscopic prostatectomy program, advanced laparoscopic skills, knowledge of the prostatic anatomy, and expertise in surgical oncology are required.