Retrograde Extraperitoneal Laparoscopic Prostatectomy (RELP). A Prospective Study about 1,000 Consecutive Patients, with Oncological and Functional Results.

Purpose: Usual laparoscopic surgery of localized prostate cancer uses antegrade dissection. We describe and evaluate the original RELP (Retrograde Extraperitoneal Laparoscopic Prostatectomy).

Materials And Methods: A prospective cohort of 1005 patients with clinical localized cancer prostate were operated from December 1999 to September 2013, in Lyon (France), and followed up to 172 months (median: 60 months).

[Retrograde extraperitoneal laparoscopic prostatectomy (R.E.I.P). Simplified technique (based on a series of 143 cases].

Since the first laparoscopic prostatectomies, performed via an intraperitoneal approach in Bordeaux, France, in November 1997 (Gaston et al.) and then via an extraperitoneal approach in Belgium in September 1999 (BOLLENS et al.), several French (Montsouris and Mondor) and European teams have adopted and amplified these approaches, but much late and more discreetly in the case of the extraperitoneal approach.