Oncologic and functional outcomes after robot-assisted laparoscopic radical prostatectomy

被引：11

作者：

Drouin, S. -J. ^{[1
]}

Vaessen, C. ^{[1
]}

Misrai, V. ^{[1
]}

Ferhi, K. ^{[1
]}

Bitker, M. -O. ^{[1
]}

Chartier-Kastler, E. ^{[1
]}

Haertig, A. ^{[1
]}

Richard, F. ^{[1
]}

Roupret, M. ^{[1
]}

机构：

[1] Univ Paris 07, Serv Urol, Hop La Pitie Salpetriere,AP HP, Fac Med,Grp Hosp Univ Est, F-75651 Paris 13, France

来源：

PROGRES EN UROLOGIE | 2009年 / 19卷 / 03期

关键词：

Radical prostatectomy; Robotic surgery; Laparoscopy; Surgical margins; PSA; INITIAL-EXPERIENCE; PERIOPERATIVE COMPLICATIONS; SURGERY; CLASSIFICATION; PRESERVATION; FEASIBILITY; ECONOMICS; UROLOGY;

D O I：

10.1016/j.purol.2008.11.009

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The current gold standard treatment for localized prostate cancer remains open radical prostatectomy. From 1992, several teams have tried to explore less invasive surgical access. The first robotically assisted laparoscopic prostatectomy (RALP) case was reported in 2000. Enhancement of the ergonomics and optimization of the surgical vision provided by the robotic interface, are some reasons that explain the worldwide widespread of RALP. Although this procedure accounted for the vast majority of radical prostatectomies performed in United States, its diffusion is still limited in Europe. The cost for robot purchase and maintenance are obvious limiting factors for its expansion. According to the literature, the operating time and the blood loss are, once the learning curve is completed, similar to those of open or laparoscopic procedures. Hospital stay and time before bladder catheter removal are shorter compared to other approaches. Intermediate oncological and functional outcomes do not show difference with the open or laparoscopic results. Given that these data are encouraging, the limited follow-up with RALP do not allow to draw any definitive statement in comparison with conventional techniques. (c) 2008 Elsevier Masson SAS. All rights reserved.

引用

页码：158 / 164

页数：7

共 46 条

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