ABSTRACT

Laparoscopic radical prostatectomy (LRP) and endoscopic extraperitoneal radical prostatectomy (EERPE), both considered to be among the most technically demanding laparoscopic procedures in urology, have been established as standard procedures routinely performed as fi rst-line therapy for the treatment of localized prostate cancer at specialized centers.1-4 The major advantages associated with minimally invasive laparoscopy are – among others – lower intraoperative bleeding rates, less postoperative pain, a shorter period of urethral catheterization, and a shorter hospital stay. The transperitoneal approach to an extraperitoneal organ may cause intraperitoneal complications such as bowel injuries, peritonitis, postoperative ileus, peritoneal adhesions, intraperitoneal bleeding, or intraperitoneal urine leakage.5,6 We thus advocate the use of the extraperitoneal route for the performance of the laparoscopic procedure.7