7 - E-Lib FK UWKS

More documents

Recommendations

Info

Preface Endoscopic/laparoscopic extraperitoneal radical prostatectomy has been established in the literature as an intriguing therapeutic option for the management of carcinoma of the prostate. Endoscopic and robotic approaches have proved to be equally effective for the management of localized prostate cancer. Nervesparing endoscopic/laparoscopic and robotic radical prostatectomy should aim to maintain sexual function and restore continence early after surgery without impairing the final oncological outcome. The advent of laparoscopy and robotics has revitalized the discussion pertaining to the anatomy of the structures surrounding the prostate gland. Despite the different approaches for radical prostatectomy the key to better results is full understanding of the anatomy of the prostate, the bladder neck and the urethra. A special chapter has thus been devoted to the anatomy of the prostate and its surrounding structures. There is a plethora of urology textbooks describing laparoscopic procedures in different ways. The present book is more an atlas than a conventional text- book. Our main goal is to guide the urologist step by step through the procedure, aiming to make this highly standardized technique reproducible. Every procedure is presented with numerous endoscopic images and diagrams so that the reader can fully comprehend the different surgical steps. Complications and useful tips and tricks for their management are described in detail. We would like to thank Jens Mondry and Gottfried Müller for their significant contributions with regard to computer imaging and design creation, respectively. Furthermore, we would like to express our gratitude to all contributing authors for their significant scientific input. Jens-Uwe Stolzenburg Matthew T. Gettman Evangelos N. Liatsikos
Contents 1 History of Laparoscopy, Endoscopic Extraperitoneal Radical Prostatectomy and Robotic Surgery . . . . . . . . . . . . . . 1 1.1 Historical Aspects of Laparoscopy and Endoscopic Extraperitoneal Radical Prostatectomy . . . . . . . . . . . . . . . . . 3 Stefanos Papadoukakis, Dirk Kusche, Michael C. Truss 1.2 Historical Overview of Robotic Radical Prostatectomy . . . . . . . . . . . . . . . . . 7 Matthew T. Gettman, Hubert John 2 Surgical Anatomy for Radical Prostatectomy . . . . . . . . . 11 2.1 Surgical Neuroanatomy of the Male Pelvis . . . . . . . . . . . . . . 13 Thilo Schwalenberg, Rudolph Hohenfellner, Jochen Neuhaus, Matthias Winkler, Evangelos N. Liatsikos, Jens-Uwe Stolzenburg 2.2 Inter- and Intrafascial Dissection Technique of Nerve-sparing Radical Prostatectomy . . . . . . . . . . . . . . . . 20 Jens-Uwe Stolzenburg, Jochen Neuhaus, Thilo Schwalenberg, Katharina Spanel-Borowski, Sabine Löffler, Rudolph Hohenfellner, Evangelos N. Liatsikos 2.3 The Muscular Systems of the Bladder Neck and Urethra . . . . . 24 Jens-Uwe Stolzenburg, Jochen Neuhaus, Lars-Christian Horn, Evangelos N. Liatsikos, Thilo Schwalenberg 3 Equipment for Endoscopic Extraperitoneal Radical Prostatectomy . 31 3.1 Recommended Set of Instruments for Endoscopic Extraperitoneal Radical Prostatectomy . . . . . . . . . . . 33 Jens-Uwe Stolzenburg 3.2 Advances in Image Processing . . . . . . . 37 Torsten Lüdtke, Christine Senet 4 Indications for Endoscopic Extraperitoneal Radical Prostatectomy . 39 Jens-Uwe Stolzenburg, Evangelos Liatsikos, Lars-Christian Horn, Michael C. Truss 5 Anaesthesia Considerations in Radical Prostatectomy . . . . . . . . . . 49 Fritjoff Koenig, Bernd Aedtner, Markus Wehner, Robert Rabenalt, Paraskevi Katsakiori, Kriton Filos, Evangelos N. Liatsikos, Jens-Uwe Stolzenburg 6 Pelvic Lymphadenectomy in the Management of Prostate Cancer . . . . . 55 Sivaprakasam Sivalingam, H. Schwaibold 7 Technique of Endoscopic Extraperitoneal Radical Prostatectomy – Step by Step . . 65 Jens-Uwe Stolzenburg, Robert Rabenalt, Minh Do, Evangelos Liatsikos 8 Troubelshooting . . . . . . . . . . . . . . 121 Jens-Uwe Stolzenburg, Minh Do, Robert Rabenalt, Anja Dietel, Heidemarie Pfeiffer, Frank Reinhardt, Michael C. Truss, Evangelos Liatsikos
Page 2 and 3: J.-U. Stolzenburg • Matthew T. Ge
Page 4 and 5: Stolzenburg, Jens-Uwe, MD, FRCS (Ed
Page 8 and 9: Contents 9 Haemostasis in Radical P
Page 10 and 11: II John, Hubert Andreas, PD Dr. med
Page 12 and 13: List of Abbreviations a external il
Page 14 and 15: Historical Aspects of Laparoscopy a
Page 16 and 17: Historical Aspects of Laparoscopy m
Page 18 and 19: Historical Overview of Robotic Radi
Page 20 and 21: Historical Overview of Robotic Radi
Page 22 and 23: 2 Surgical Neuroanatomy of the Male
Page 24 and 25: 2 14 Table 2.1.1. (continued) Publi
Page 26 and 27: 2 16 2.1.4 show that the cavernosal
Page 28 and 29: 2 18 penetrates the suspensory liga
Page 30 and 31: 2 Inter- and Intrafascial Dissectio
Page 32 and 33: 2 22 Chapter 2.2 J.-U. Stolzenburg
Page 34 and 35: 2 The Muscular Systems of the Bladd
Page 36 and 37: 2 26 Fig. 2.3.2. a Three-dimensiona
Page 38 and 39: 2 28 sphincter as a rhabdosphincter
Page 40 and 41: 2 30 one third of the prostate. Thu
Page 42 and 43: 3 Recommended set of instruments fo
Page 44 and 45: 3 34 Hand Instruments Bipolar Force
Page 46 and 47: 3 36 The Tower Components/Devices C
Page 48 and 49: 3 38 3.2.3 Highlighting Hidden Tiss
Page 50 and 51: 4 40 The indications for endoscopic
Page 52 and 53: 4 42 Fig. 4.1. Postoperative appear
Page 54 and 55: 4 44 4.9 Atypical Size and Shape of
Page 56 and 57:
4 46 Fig. 4.6. a, b Postprostatecto
Page 58 and 59:
Anaesthesia Considerations in Radic
Page 60 and 61:
Page 62 and 63:
Page 64 and 65:
Pelvic Lymphadenectomy in the Manag
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Technique of Endoscopic Extraperito
Page 76 and 77:
Technique of EERPE - Step by Step C
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Technique of EERPE - Step by Step 7
Page 86 and 87:
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
Page 98 and 99:
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
7.5 Apical Dissection Technique of
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
7.6 Anastomosis Technique of EERPE
Page 120 and 121:
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Page 128 and 129:
Page 130 and 131:
Troubelshooting Jens-Uwe Stolzenbur
Page 132 and 133:
Troubelshooting needle is extracted
Page 134 and 135:
Troubelshooting fibres and neurovas
Page 136 and 137:
Troubelshooting Fig. 8.4. Retrograd
Page 138 and 139:
Troubelshooting Fig. 8.6. Normal cy
Page 140 and 141:
Troubelshooting Fig. 8.10. Minor le
Page 142 and 143:
Troubelshooting and sclerotherapy c
Page 144 and 145:
9 136 9.1 Introduction Adequate hae
Page 146 and 147:
9 138 Santorini plexus [3]. Neverth
Page 148 and 149:
9 140 9.6.3 Human Fibrinogen 9.6.5
Page 150 and 151:
9 142 5. Harrell AG, Kercher KW, He
Page 152 and 153:
10 144 Chapter 10 The extraperitone
Page 154 and 155:
10 146 Chapter 10 H. John ∙ M. T.
Page 156 and 157:
Page 158 and 159:
Page 160 and 161:
10 152 The fascia of Denonvilliers
Page 162 and 163:
Page 164 and 165:
Page 166 and 167:
Page 168 and 169:
The Need for Classification of Comp
Page 170 and 171:
The Need for Classification Table 1
Page 172 and 173:
The Need for Classification Recentl
Page 174 and 175:
The Need for Classification servati
Page 176 and 177:
Modular Training in Endoscopic Extr
Page 178 and 179:
Modular Training in EERP Fig. 12.1.
Page 180 and 181:
Modular Training in EERP ing in wet
Page 182 and 183:
Modular Training in EERP es. It was
Page 184 and 185:
References Modular Training in EERP
Page 186 and 187:
13 Inpatient Rehabilitation of Post
Page 188 and 189:
13 182 The pelvis should be moved s
Page 190 and 191:
13 184 Fig. 13.1.5. Transsphincteri
Page 192 and 193:
13 186 15. Kielb S, Dunn RL, Rashid
Page 194 and 195:
13 188 derwent bilateral nerve-spar
Page 196 and 197:
13 190 bility and/or significantly
Page 198 and 199:
13 192 group II, who had used 50-10
Page 200 and 201:
13 194 PDE-5 inhibitor. This rehabi
show all

7 - E-Lib FK UWKS

Create successful ePaper yourself

Delete template?

Save as template?