Extraperitoneal Video-Assisted Simple Prostatectomy: A Surgery for Beginners?

Abstract

Abstract Introduction and Objectives: Laparoscopic simple prostatectomy has been introduced with the purpose of reducing the morbidity or the classical and standard open surgeries. The extraperitoneal (preperitoneal) or preperitoneal approach adds no technical difficulty and additionally allows no surgical violation of the peritoneum. The purpose of this work (video) is to show a step-by-step video of the simple extraperitoneal prostatectomy technique and present a series of cases of patients treated with this surgery with residents as first surgeons. Methods: An educational video shows in a didactic way the simple extraperitoneal prostatectomy. The results of a series of 18 consecutive cases are presented. Demographic data and main perioperative outcomes were registered and analyzed. Preoperative and postoperative International Prostate Symptom Score and maximum flow rate were registered as indicators of relieving of bladder outlet obstruction (BOO). A questionnaire for surgery feasibility was answered b...