PURPOSE: With our extensive experience of transperitoneal laparoscopic prostatectomy, we evaluated the advantages and disadvantages of the extraperitoneal approach by comparing 2 consecutive series of each procedure. MATERIALS AND METHODS: We reviewed 200 consecutive procedures performed by 2 surgeons. A total of 100 transperitoneal procedures (designated group 1) were compared to the first 100 extraperitoneal cases (designated group 2). RESULTS: Mean operating time was 173 minutes in group 1 and shorter in group 2 at 163 minutes (p = 0.003). Mean blood loss (360 ml in group 1,375 ml in group 2) and transfusion rates (4% in group 1, 3% in group 2) were equivalent. There were no major complications. Minor complications were 10% in group 1 and 9% in group 2. There was no statistical difference in positive margin rate between groups 1 and 2. CONCLUSIONS: The 2 procedures are equivalent in terms of operative, postoperative and pathological data. Each surgeon has to choose considering personal experience, training and standardization.
PURPOSE: With our extensive experience of transperitoneal laparoscopic prostatectomy, we evaluated the advantages and disadvantages of the extraperitoneal approach by comparing 2 consecutive series of each procedure. MATERIALS AND METHODS: We reviewed 200 consecutive procedures performed by 2 surgeons. A total of 100 transperitoneal procedures (designated group 1) were compared to the first 100 extraperitoneal cases (designated group 2). RESULTS: Mean operating time was 173 minutes in group 1 and shorter in group 2 at 163 minutes (p = 0.003). Mean blood loss (360 ml in group 1,375 ml in group 2) and transfusion rates (4% in group 1, 3% in group 2) were equivalent. There were no major complications. Minor complications were 10% in group 1 and 9% in group 2. There was no statistical difference in positive margin rate between groups 1 and 2. CONCLUSIONS: The 2 procedures are equivalent in terms of operative, postoperative and pathological data. Each surgeon has to choose considering personal experience, training and standardization.
Authors: Jens-Uwe Stolzenburg; Robert Rabenalt; Minh Do; Benjamin Lee; Michael C Truss; Hartwig Schwaibold; Martin Burchardt; Udo Jonas; Evangelos N Liatsikos Journal: World J Urol Date: 2006-01-06 Impact factor: 4.226
Authors: Jens-Uwe Stolzenburg; Robert Rabenalt; Minh Do; Benjamin Lee; Michael C Truss; Alan McNeill; Martin Burchardt; Udo Jonas; Evangelos N Liatsikos Journal: World J Urol Date: 2006-11-04 Impact factor: 4.226
Authors: 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 J Urol Date: 2008-09-10 Impact factor: 4.226
Authors: Elcio Silva; Ubirajara Ferreira; Gustavo D Silva; Mirandolino B Mariano; Nelson R Netto; Athanase Billis; Luis A Magna Journal: Int Urol Nephrol Date: 2007-03-15 Impact factor: 2.370