Luis Martínez-Piñeiro  European Urology 

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Presentation transcript:

Prostatic Fascial Anatomy and Positive Surgical Margins in Laparoscopic Radical Prostatectomy  Luis Martínez-Piñeiro  European Urology  Volume 51, Issue 3, Pages 598-600 (March 2007) DOI: 10.1016/j.eururo.2006.10.039 Copyright © 2006 European Association of Urology Terms and Conditions

Fig. 1 Sagittal view of prostatic fascial anatomy [3]. European Urology 2007 51, 598-600DOI: (10.1016/j.eururo.2006.10.039) Copyright © 2006 European Association of Urology Terms and Conditions

Fig. 2 Entering the interfascial plane requires either the section of the adhesions of Denonvilliers fascia to the prostatic base or a double cutting of Denonvilliers fascia at this point [3]. European Urology 2007 51, 598-600DOI: (10.1016/j.eururo.2006.10.039) Copyright © 2006 European Association of Urology Terms and Conditions

Fig. 3 Axial view of prostatic fascial anatomy as described by Martínez-Piñeiro et al. [3]; a=intrafascial plane; b=interfascial plane; c1=extrafascial plane with partial preservation of neurovascular bundle; c2=extrafascial plane with no preservation of neurovascular bundle. European Urology 2007 51, 598-600DOI: (10.1016/j.eururo.2006.10.039) Copyright © 2006 European Association of Urology Terms and Conditions

Fig. 4 Axial view of right posterolateral aspect of prostate. Dissection planes as described by Secin et al. [4]; a=intrafascial plane; b=interfascial plane; c=extrafascial plane; PF=prostatic fascia; DF=Denonvilliers fascia; LF=levator ani fascia. European Urology 2007 51, 598-600DOI: (10.1016/j.eururo.2006.10.039) Copyright © 2006 European Association of Urology Terms and Conditions