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The current status of robot-assisted radical prostatectomy / 亚洲男科学杂志(英文版)
Asian Journal of Andrology ; (6): 90-93, 2009.
Artículo en Inglés | WPRIM | ID: wpr-284714
ABSTRACT
Robot-assisted radical prostatectomy (RARP) is a rapidly evolving technique for the treatment of localized prostate cancer. In the United States, over 65% of radical prostatectomies are robot-assisted, although the acceptance of this technology in Europe and the rest of the world has been somewhat slower. This article reviews the current literature on RARP with regard to oncological, continence and potency outcomes-the so-called 'trifecta'. Preliminary data appear to show an advantage of RARP over open prostatectomy, with reduced blood loss, decreased pain, early mobilization, shorter hospital stay and lower margin rates. Most studies show good postoperative continence and potency with RARP; however, this needs to be viewed in the context of the paucity of randomized data available in the literature. There is no definitive evidence to show an advantage over standard laparoscopy, but the fact that this technique has reached parity with laparoscopy within 5 years is encouraging. Finally, evolving techniques of single-port robotic prostatectomy, laser-guided robotics, catheter-free prostatectomy and image-guided robotics are discussed.
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Prostatectomía / Neoplasias de la Próstata / Calidad de Vida / Cirugía General / Incontinencia Urinaria / Robótica / Resultado del Tratamiento / Cirugía Asistida por Computador / Disfunción Eréctil / Métodos Tipo de estudio: Ensayo Clínico Controlado Límite: Humanos / Masculino Idioma: Inglés Revista: Asian Journal of Andrology Año: 2009 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Prostatectomía / Neoplasias de la Próstata / Calidad de Vida / Cirugía General / Incontinencia Urinaria / Robótica / Resultado del Tratamiento / Cirugía Asistida por Computador / Disfunción Eréctil / Métodos Tipo de estudio: Ensayo Clínico Controlado Límite: Humanos / Masculino Idioma: Inglés Revista: Asian Journal of Andrology Año: 2009 Tipo del documento: Artículo