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01-12-2006 | Original Article

Complications of endoscopic extraperitoneal radical prostatectomy (EERPE): prevention and management

Authors: Jens-Uwe Stolzenburg, Robert Rabenalt, Minh Do, Benjamin Lee, Michael C. Truss, Alan McNeill, Martin Burchardt, Udo Jonas, Evangelos N. Liatsikos

Published in: World Journal of Urology | Issue 6/2006

Abstract

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.

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Title: Complications of endoscopic extraperitoneal radical prostatectomy (EERPE): prevention and management
Authors: Jens-Uwe Stolzenburg
Robert Rabenalt
Minh Do
Benjamin Lee
Michael C. Truss
Alan McNeill
Martin Burchardt
Udo Jonas
Evangelos N. Liatsikos
Publication date: 01-12-2006
Publisher: Springer-Verlag
Published in: World Journal of Urology / Issue 6/2006
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-006-0133-8

At a glance: The STEP trials

Springer Medicine

Complications of endoscopic extraperitoneal radical prostatectomy (EERPE): prevention and management

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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