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Asian Journal of Andrology (2012) 14, 278-284; doi:10.1038/aja.2011.53; published online 19 December 2011
Evolution of endoscopic extraperitoneal radical prostatectomy (EERPE): technique and outcome
Jens-Uwe Stolzenburg1, Odysseas Andrikopoulos2, Panagiotis Kallidonis2, Iason Kyriazis2, Minh Do1 and Evangelos Liatsikos2
1 Department of Urology, University of Leipzig, Leipzig D-04103, Germany
2 Department of Urology, University of Patras, Rio, Patras 26500, Greece
Correspondence: Dr P Kallidonis, (pkallidonis@yahoo.com)
Received 5 February 2010; Revised 24 March 2011; Accepted 26 April 2011
Advance online publication 19 December 2011
| Abstract |
Endoscopic extraperitoneal radical prostatectomy (EERPE) is a well-established and standardized technique for treating patients with localized prostate cancer. Nevertheless, the procedure is continuously being refined with the expansion of anatomical knowledge. The development of a nerve-sparing approach and improvements in currently used equipment are expected to yield better results in cosmesis and convalescence without sacrificing the procedure's established benefits in terms of potency, continence and oncological management. In this study, the technique and its evolution are presented in detail, along with an analysis of its clinical efficacy. We also consult the literature to compare EERPE to transperitoneal laparoscopic radical prostatectomy, and we also discuss new technical advancements regarding the use of robotic assistance during EERPE.
Keywords: extraperitoneal; laparoscopy; prostate cancer; radical prostatectomy; robotic assistance |
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