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Immediate/Early Surgical Complications

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Prostate Cancer: A Comprehensive Perspective

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Abstract

Open radical retropubic prostatectomy (ORP) remains the conventional standard of surgical management for patients with organ-confined prostate cancer. Despite improvements in our understanding of male pelvic anatomy, refinements in operative technique, and advances in perioperative care, the procedure remains associated with significant perioperative complications, particularly bleeding risk. Laparoscopic radical prostatectomy (LRP) and robot-assisted laparoscopic prostatectomy (RALP) are reportedly associated with lower rates of blood loss and other indices of perioperative morbidity, although high-quality comparison studies are lacking. This chapter describes the principle immediate and early complications associated with each of the radical prostatectomy approaches and critically appraises the available literature to allow comparison of the techniques. Particular attention is given to a discussion of required standards and desirable classification systems for the reporting of perioperative complications.

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Authors and Affiliations

  1. Fellow in Laparoscopic and Robotic Urology, Department of Urology, The Royal Melbourne Hospital, Grattan Street, Parkville, Melbourne, VIC, 3052, Australia

    Thomas J. Walton DM, FRCS (Urol)

  2. Department of Urological Oncology, The Peter MacCallum Cancer Centre, Melbourne, VIC, 3002, Australia

    Thomas J. Walton DM, FRCS (Urol)

  3. Australian Prostate Cancer Research Centre, Epworth Richmond, Melbourne, VIC, Australia

    Declan G. Murphy M.B., FRACS, DM, FRCS (Urol)

  4. Department of Cancer Surgery, Peter MacCullum Cancer Centre, St. Andrews Place, Melbourne, VIC, 3112, Australia

    Declan G. Murphy M.B., FRACS, DM, FRCS (Urol)

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  1. Thomas J. Walton DM, FRCS (Urol)
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  2. Declan G. Murphy M.B., FRACS, DM, FRCS (Urol)
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Correspondence to Declan G. Murphy M.B., FRACS, DM, FRCS (Urol) .

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Editors and Affiliations

  1. New York Presbyterian Hospital, Brady Urologic Health Center, Weill Cornell Medical Center, East 68th Street 525, New York, 10021, New York, USA

    Ashutosh Tewari

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Walton, T.J., Murphy, D.G. (2013). Immediate/Early Surgical Complications. In: Tewari, A. (eds) Prostate Cancer: A Comprehensive Perspective. Springer, London. https://doi.org/10.1007/978-1-4471-2864-9_82

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