| WHAT IS IT?
| HISTORY
| ADVANTAGES
| RADICAL PROSTATECTOMY
   - What is it?
   - Advantages
   - Urinary continence
| LUMBAR FLANK SURGERY
   - Radical & Parcial Nefrectomy
   - Other techniques
   
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Medical Center Teknon

Marquesa surgery
Office 45
C/ Marquesa de Villalonga 12
T 933 933 168| M 606 79 24 42
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LAPAROSCOPY | radical prostatectomy

WHAT IS LAPAROSCOPIC RADICAL PROSTATECTOMY ?
Laparoscopic radical prostatectomy is the technique that allows an oncologically safe extirpation of the prostatic gland in the case of a prostate cancer. It is achieved by means of 4 or 5 accesses (trocars). The procedure consists on the separation of the prostate from its neighboring organs (urinary bladder and urethra) to allow its extirpation. Afterwards, a reconstruction of the urinary tract is needed, connecting the bladder to the urethra. This anastomosis requires a master grip on laparoscopic suturing technique to be perfectly watertight.

Bipolar electric energy and haemostatic clips are usually used for bleeding control. The procedure may be done through the peritoneal cavity (abdominal cavity) or through an extraperitoneal approach. The initial technique was described through an intrabdominal way, with plenty space and easy orientation references although there is a tendency nowadays in favoring the extraperitoneal approach.

This last approach is faster (reducing surgical time), offers a tighter working space (that may difficult some maneuvers) and does not invade the abdominal cavity (avoiding the risks that this may suppose) When it is feasible, neurovascular bundles, responsible for normal erection, may be preserved, obtaining better results in its recovering. Usual surgical time length is about two hours. In the postoperative period a bladder catheter is maintained usually for one week.

 
 
 

" Usual surgical time length is about two hours "