Laparoscopic radical prostatectomy: a review

Int Braz J Urol. 2009 Mar-Apr;35(2):125-37; discussion 137-9. doi: 10.1590/s1677-55382009000200002.


Introduction: We offer an overview of the intra-, peri- and postoperative outcomes of laparoscopic radical prostatectomy (LRP) with the endpoint to evaluate potential advantages of this approach.

Materials and methods: We conducted an extensive Medline literature search (search terms "laparoscopic radical prostatectomy" and "radical prostatectomy") from 1990 until 2007. Only full-length English language articles identified during this search were considered for this analysis. A preference was given to the articles with large series with more than 100 patients. All pertinent articles concerning localized prostate cancer were reviewed.

Conclusion: Pure LRP has shown to be feasible and reproducible but it is difficult to learn. Potential advantages over open surgery have to be confirmed by longer-term follow-up and adequately designed clinical studies.

Publication types

  • Review

MeSH terms

  • Humans
  • Laparoscopy / adverse effects
  • Laparoscopy / methods*
  • Male
  • Neoplasm Staging
  • Prostatectomy / adverse effects
  • Prostatectomy / methods*
  • Prostatic Neoplasms / pathology
  • Prostatic Neoplasms / surgery*
  • Treatment Outcome