Techniques of nerve-sparing and potency outcomes following robot-assisted laparoscopic prostatectomy: [review]
Int. braz. j. urol
; 36(3): 259-272, May-June 2010. ilus, tab
Artigo
em Inglês
| LILACS
| ID: lil-555185
Biblioteca responsável:
BR1.1
ABSTRACT
PURPOSE:
Nerve sparing radical prostatectomy is the gold standard for the treatment of prostate cancer. Over the past decade, more and more surgeons and patients are opting for a robot-assisted procedure. The purpose of this paper is to briefly review different techniques and outcomes of nerve sparing robot assisted laparoscopic prostatectomy (RALP). MATERIALS ANDMETHODS:
We performed a MEDLINE search from 2001 to 2009 using the keywords robotic prostatectomy, cavernosal nerve, pelvic neuroanatomy, potency, outcomes and comparison. Extended search was also performed using the references from these articles.RESULTS:
Several techniques of nerve sparing are available in literature for RALP, which have been described in this manuscript. These include, the veil of Aphrodite, athermal retrograde neurovascular release, clipless antegrade nerve sparing and clipless cautery free technique. The comparative and the non comparative series showing outcomes of RALP have been described in the manuscript.CONCLUSIONS:
The basic principles for nerve sparing revolve around minimal traction, athermal dissection, and approaching the correct planes. It has not been documented if any one technique is better than the other. Regardless of technique, patient selection, wise clinical judgment and a careful dissection are the keys to achieve optimal oncological outcomes following RALP.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Objetivo 9: Redução de doenças não transmissíveis
/
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
Base de dados:
LILACS
Assunto principal:
Prostatectomia
/
Neoplasias da Próstata
/
Robótica
/
Ereção Peniana
/
Laparoscopia
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Int. braz. j. urol
Assunto da revista:
Urologia
Ano de publicação:
2010
Tipo de documento:
Artigo
País de afiliação:
Estados Unidos
Instituição/País de afiliação:
University of Central Florida/US