World journal of urology
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World journal of urology · Sep 2005
Comparative StudyEndoscopic extraperitoneal radical prostatectomy in patients with prostate cancer and previous laparoscopic inguinal mesh placement for hernia repair.
Since laparoscopic inguinal hernia repair has become a frequently performed surgical procedure, it is inevitable that patients who have been candidates for laparoscopic radical prostatectomy (LRP) may have had such prior intervention. The inguinal hernia repair might take the form of either total extraperitoneal hernioplasty (TEP) or transabdominal extraperitoneal hernioplasty (TAPP), with mesh placement. The objective was to show that performing endoscopic extraperitoneal radical prostatectomy (EERPE) in such patients was safe and feasible, and also to suggest modifications of the technique to facilitate the surgery. ⋯ Although certain problems were presented by previous TEP/TAPP, it is nevertheless feasible to perform EERPE. By adapting port placements and surgical techniques the operation can be performed safely and with a good operative outcome.