Document Detail


Complications of endoscopic extraperitoneal radical prostatectomy (EERPE): prevention and management.
MedLine Citation:
PMID:  17086396     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endoscopic extraperitoneal radical prostatectomy (EERPE) is a further advancement of minimal invasive surgery as it overcomes the limitations of laparoscopic (transperitoneal) RPE by the strictly extraperitoneal route of access combining the advantages of minimal invasive surgery with the advantages of an extraperitoneal procedure. Endoscopic extraperitoneal radical prostatectomy has many advantages but is not without complications. The aim of this review article is to describe the most common complications of this procedure. Complications associated with endoscopic extraperitoneal radical prostatectomy are: vascular injury--bleeding--haematoma, bowel injury, lymphocele, injury to the bladder--ureter, port site hernia, anastomotic leakage--stricture, obturator nerve injury--paralysis, gas embolism, catheter blockage, and miscellaneous like perineal pain, pubic osteitis, infection- urosepsis. The present review paper focuses on the identification and management of these complications The incidence of most complications directly correlates with the surgeons' experience, and the various complications are related to technical errors rather than to the technique itself. The laparoscopist performing endoscopic/ laparoscopic radical prostatectomy should be aware of all these complications. He should be able to recognise promptly, treat efficiently, and ideally prevent these complications.
Authors:
Jens-Uwe Stolzenburg; Robert Rabenalt; Minh Do; Benjamin Lee; Michael C Truss; Alan McNeill; Martin Burchardt; Udo Jonas; Evangelos N Liatsikos
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Publication Detail:
Type:  Journal Article; Review     Date:  2006-11-04
Journal Detail:
Title:  World journal of urology     Volume:  24     ISSN:  0724-4983     ISO Abbreviation:  World J Urol     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-12     Completed Date:  2007-03-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8307716     Medline TA:  World J Urol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  668-75     Citation Subset:  IM    
Affiliation:
Department of Urology, University of Leipzig, Liebigstrasse 20, 04103 Leipzig, Germany. stolj@medizin.uni-leipzig.de
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MeSH Terms
Descriptor/Qualifier:
Endoscopy / adverse effects*
Humans
Male
Postoperative Complications / prevention & control*
Prostatectomy / adverse effects*,  methods
Prostatic Neoplasms / surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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