Prostatectomie radicale : voie ouverte ou «mini-invasive» ? Expérience en chirurgie ouverte et point de vue

Article Article scientifique Article Prostatectomie radicale : voie ouverte ou «mini-invasive» ? Expérience en chirurgie ouverte et point de vue fre 2005 author Rohner Stéphane 69636 author Bolle Jean François 97722 author Reverdin Nicolas 123383 author Tuchschmid Yan Samuel 71011 2748-2754 16366451 1660-9379 Radical prostatectomy remains the gold standard for treatment of localised prostate cancer. Standardisation of the open retro-pubic anatomic prostatectomy by P Walsh allows skilled but not expert surgeons to achieve a high standard of performance. Learning curve is short with this technic, with minor morbidity. Rates of incontinence are low and impotency is now rather uncommon in the younger patient while oncological control is optimal for histologicaly organ confined cancer. "Mini invasive technics", laparoscopy and robot-assisted laparoscopy, have a longer learning curve, including a higher rate of complications that are unusual with open surgery. Operating time remains longer, costs are superior to the open technic and oncological control is not yet clearly validated while rates of classical late complications are not lower. Consequently, most urologist still prefer the open approach Cost Control Health Care Costs Humans Laparoscopy/methods Laparotomy Male Postoperative Complications Prostatectomy/methods Prostatic Neoplasms/surgery Surgical Procedures, Minimally Invasive Treatment Outcome Dewey 617 57 Département de chirurgie 222 false 81 Groupe Iselin Christophe (urologie) 106 Revue médicale suisse 1 42 e32a0f02-8e5a-4bb8-a6ce-474d2460c09d Article (Published version) Restricted 2005_rohner_rev_med_suisse.pdf 1403429 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Prostatectomie radicale : voie ouverte ou «mini-invasive» ? Expérience en chirurgie ouverte et point de vue	Revue médicale suisse			2005	542	0

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Reverdin, Nicolas