Endoscopic radical perineal prostatectomy: Preliminary results

Vasileios Α. Pangalos, Antonios Katsimantas, Konstantinos Sfetsas, Konstantinos Ioannidis, Athanasios Archontakis

Abstract


Radical Perineal Prostatectomy (RPP) is the oldest surgical technique for prostate cancer. Prostate’s anatomy allows for RPP to be considered as a minimally invasive technique. However, only a few surgeons perform it, probably due to technical difficulties arising from the constricted surgical field, as well as surgeons’ insufficient training. We introduce Endoscopic Radical Perineal Prostatectomy as an evolution of  RPP and present our results in a series of patients. ERPP combines the advantages of both RPP and laparoscopic techniques in terms of surgical results while, at the same time, offers surgeons an invaluable training tool.

 

Η ριζική περινεϊκή προστατεκτομή είναι η παλαιότερη χειρουργική θεραπεία για τον καρκίνο του προστάτη. Παρόλο που, λόγω ανατομίας του προστάτη, η ριζική περινεϊκή προστατεκτομή αποτελεί ελάχιστα επεμβατική τεχνική, εκτελείται σήμερα από ένα μικρό αριθμό ουρολόγων. Αυτό μπορεί να οφείλεται, αφενός, στο ιδιαίτερο χειρουργικό πεδίο και, αφετέρου, στη δυσκολία που παρουσιάζει η εκπαίδευση των νέων χειρουργών σ’ αυτήν. Με την παρούσα εργασία εισάγουμε την ενδοσκοπική ριζική περινεϊκή προστατεκτομή  και παρουσιάζουμε τα αποτελέσματά της σε μία σειρά ασθενών. Η τεχνική αυτή συνδυάζει τα πλεονεκτήματα ριζικής περινεϊκής προστατεκτομής και της λαπαροσκοπίας, αποτελεί ένα βήμα προς στην τελειοποίηση της επέμβασης, ενώ συγχρόνως την καθιστά εκπαιδευτικότερη.


Keywords


prostate cancer; surgical treatment; endoscopic radical perineal prostatectomy; προστατικός καρκίνος, χειρουργική θεραπεία, ενδοσκοπική ριζική περινεϊκή προστατεκτομή

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DOI: http://dx.doi.org/10.19264/hj.v27i4.103