Abstract
Laparoscopic prostatectomy has become an established treatment option for localized prostate cancer in France, where open prostatectomy is now the gold standard. The main purposes of treatment for prostate cancer are cancer control and preservation of urinary continence and sexual function. To become a standard treatment option for organ-confined prostate cancer, laparoscopic prostatectomy has to show equal or better clinical outcome in these areas than its open counterpart. Many institutes in other countries are now trying to perform this surgery. There are, however, some negative reports, mainly because of the difficulty of the procedure. In Japan, more than 250 patients have undergone this surgery. It seems that satisfactory results in terms of positive surgical margin rate, bleeding volume, recovery from surgery, and urinary continence have been obtained so far. We need longer follow-up to assess recurrence rate and sexual function. The main obstacles for this surgery are the long operative time and the difficulty of the procedures. Although it will take time until laparoscopic prostatectomy becomes an approved treatment modality, we are gradually conquering these problems. In this paper, we review the current situation facing laparoscopic prostatectomy in Japan.
Similar content being viewed by others
References and Recommended Reading
Price DT, Chari RS, Neighbors JD, Jr, et al.: Laparoscopic radical prostatectomy in the canine model. J Laparoendosc Surg 1996, 6:405–412.
Raboy A, Albert P, Ferzli G: Early experience with extraperitoneal endoscopic radical retropubic prostatectomy. Surg Endosc 1998, 12:1264–1267.
Schuessler WW, Schulam PG, Clayman RV, Kavoussi LR: Laparoscopic radical prostatectomy: initial short-term experience. Urology 1997, 50:854–857.
Guillonneau B, Cathelineau X, Barret E, et al.: Laparoscopic radical prostatectomy: technical and early oncological assessment of 40 operations. Eur Urol 1999, 36:14–20. This is the first widely accepted report on operation methods for laparoscopic prostatectomy.
Guillonneau B, Vallancien G: Laparoscopic radical prostatectomy: initial experience and preliminary assessment after 65 operations. Prostate 1999, 39:71–75.
Guillonneau B, Vallancien G: Laparoscopic radical prostatectomy: the Montsouris technique. J Urol 2000, 163:1643–1649. This is the latest version of the article that reports on the clinical outcome of laparoscopic prostatectomy from the institute where this operation was established. The author analyzes 260 cases of laparoscopic prostatectomy and shows satisfying results.
Guillonneau B, Vallancien G: Laparoscopic radical prostatectomy: the Montsouris experience. J Urol 2000, 163:418–422.
Guillonneau B, Cathelineau X, Doublet JD, Vallancien G: Laparoscopic radical prostatectomy: the lessons learned. J Endourol 2001, 15:441–445.
Abbou CC, Salomon L, Hoznek A, et al.: Laparoscopic radical prostatectomy: preliminary results. Urology 2000, 55:630–634. This paper shows that laparoscopic prostatectomy is a reproducible method. The author reports that the short-term oncologic and functional efficacy rates are equivalent to those for open surgery.
Jacob F, Salomon L, Hoznek A, et al.: Laparoscopic radical prostatectomy: preliminary results. Eur Urol 2000, 37:615–620.
Ono Y, Hattori R, Gotoh M, et al.: Development of laparoscopic surgery. Retroperitoneal approach of laparoscopic prostatectomy. Jpn J Endourol 2001, 14:37.
Tanaka M, Naito S: Development of laparoscopic surgery. Laparoscopic prostatectomy (retroperitoneal approach). Jpn J Endourol 2001, 14:42.
Partin AW, Kattan MW, Subong EN, et al.: Combination of prostate-specific antigen, clinical stage, and Gleason score to predict pathological stage of localized prostate cancer. A multi-institutional update. JAMA 1997, 277:1445–1451.
Hattori R, Ono Y, Gotho M, et al.: Laparoscopic radical prostatectomy—initial 10 cases [in Japanese]. Nippon Hinyokika Gakkai Zasshi 2001, 92:603. The authors report on 10 patients who underwent laparoscopic prostatectomy. They showed shorter duration of an indwelling catheter and earlier recovery of normal micturition in the laparoscopically treated group than in patients who had gone through conventional open surgery.
Kawabata G, Hara I, Hara S, et al.: Laparoscopic radical prostatectomy: initial 17 case report [in Japanese]. Nippon Hinyokika Gakkai Zasshi 2001, 92:647. This is the latest Japanese report on laparoscopic prostatectomy. The authors believe that this method will be one of the treatment modalities for organ-confined prostate cancer.
Kawakita M, Sato M, Oguchi N, et al.: Transperitoneal laparoscopic radical prostatectomy with the Montsouris technique: experience in initial 5 cases [in Japanese]. Nippon Hinyokika Gakkai Zasshi 2001, 92:506. This is the first Japanese report on laparoscopic prostatectomy. Although the number of patients the paper reports on is only five, this paper shows laparoscopic prostatectomy to be feasible in Japan.
Terachi T, Okumura K, Imamura M, et al.: Development of laparoscopic surgery. Laparoscopic prostatectomy. Jpn J Endourol 2001, 14:31. The authors were the first to perform a laparoscopic prostatectomy in Japan. The authors show the difficulties of this surgical procedure and how to manage them.
Cortesi N, Ferrari P, Zambarda E, et al.: Diagnosis of bilateral abdominal cryptorchidism by laparoscopy. Endoscopy 1976, 8:33–34.
Schuessler WW, Vancaillie TG, Reich H, Griffith DP: Transperitoneal endosurgical lymphadenectomy in patients with localized prostate cancer. J Urol 1991, 145:988–991.
Clayman RV, Kavoussi LR, Soper NJ, et al.: Laparoscopic nephrectomy: initial case report. J Urol 1991, 146:278–282.
Go H, Takeda M, Takahashi H, et al.: Laparoscopic adrenalectomy for primary aldosteronism: a new operative method. J Laparoendosc Surg 1993, 3:455–459.
Higashihara E, Tanaka Y, Horie S, et al.: Laparoscopic adrenalectomy: the initial 3 cases. J Urol 1993, 149:973–976.
Suzuki K, Kageyama S, Ueda D, et al.: Laparoscopic adrenalectomy: clinical experience with 12 cases. J Urol 1993, 150:1099–1102.
Hagood PG, Mehan DJ, Worischeck JH, et al.: Laparoscopic varicocelectomy: preliminary report of a new technique. J Urol 1992, 147:73–76.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hara, I., Kawabata, G. Japanese experience with radical prostatectomy. Curr Urol Rep 3, 159–163 (2002). https://doi.org/10.1007/s11934-002-0029-0
Issue Date:
DOI: https://doi.org/10.1007/s11934-002-0029-0