ESU Course 29: Advanced course on laparoscopic prostatectomy
Chair: J.U. Stolzenburg, Leipzig (DE)
Aims and objectives: Laparoscopic/endoscopic radical prostatectomy needs to be well standardised to be reproduced. Besides the approaches the results of radical prostatectomy are based first and foremost on our understanding of the prostatic anatomy. Thus, we will first give precise information on the anatomy of the prostate, the sphincter muscle, fascias and the bundles in order to have a better understanding of the operative laparoscopic anatomy. The experts will then go through each step of the surgery. For this, short well-selected video clips will be presented and discussed e.g. the best way to perform the space for the extraperitoneal approach, how to spare the bladder neck, to make easy dorsal vein complex control, the apical dissection and the anastomosis. Different aspects (interfascial, intrafascial) of nerve-sparing surgery will be addressed. The participants will be made aware of the risk of complications or difficulties for each part of the procedure. The tricks shortening the operative time will be also discussed. Finally, complications and their management will be addressed. At the end of the session, the participants, if they are beginners, should have a better comprehension of each step of the technique. If they are experienced, the course should help to improve their technique by picking out some important tricks.
