Open suprapubic versus retropubic prostatectomy in the treatment of benign prostatic hyperplasia during resident's learning curve: a randomized controlled trial.

Purpose: This study compared the suprapubic (SP) versus retropubic (RP) prostatectomy for the treatment of large prostates and evaluated perioperative surgical morbidity and improvement of urinary symptoms.

Materials And Methods: In this single centre, prospective, randomised study, 65 consecutive patients with LUTS and surgical indication with prostate volume greater than 75g underwent open prostatectomy to compare the RP (32 patients) versus SP (33 patients) technique.

Results: The SP group exhibited a higher incidence of complications (p=0.

Can video endoscopic inguinal lymphadenectomy achieve a lower morbidity than open lymph node dissection in penile cancer patients?

Background And Purpose: Radical lymphadenectomy improves survival in penile cancer patients, but the morbidity of the classic open procedure exceeds 50%. We report the updated results of Video Endoscopic Inguinal Lymphadenectomy (VEIL), an original minimally invasive procedure recently reported for extended inguinal node dissection in clinical settings.

Patients And Methods: Fifteen consecutive patients who underwent the VEIL technique were prospectively followed and included in this study.

[Laparoscopic adrenalectomy: a prospective study comparing transperitoneal and retroperitoneal approaches].

Objectives: A prospective protocol was used to compare transperitoneal and retroperitoneal laparoscopic access for treatment of adrenal lesions.

Methods: Forty patients (19 male and 21 female) were submitted to laparoscopic adrenalectomy. Patients were operated by two surgeons.

[Laparoscopic retroperitoneal adrenalectomy as a minimally invasive option for the treatment of adrenal tumors].

Objectives: The excision of the adrenal gland by laparoscopic approach is the gold standard for the treatment of adrenal tumors smaller than 6 cm. Most Brazilian centres favour the transperitoneal approach. The objective of the present prospective study was to show the intraoperative and postoperative results of patients undergoing adrenal laparoscopic surgery through a lateral retroperitoneal approach performed by an individual surgeon.

[6-year experience with extra peritoneal lumbar laparoscopic surgery: indications, complications, and results in a reference Southamerican center].

Objectives: To report the experience in lumbar extraperitoneal laparoscopy surgery obtained while perfectioning the technique over a six-year period.

Methods: We perform a prospective study with 168 cases of extra peritoneal laparoscopic surgery for the treatment of various kidney-ureter and adrenal diseases between 1999 and 2004. Operations were classified by organ and complexity (ablative or reconstructive).