How to Skin a Prostate: The Evolution of Robotic Prostatectomy

IF 2.5 4区 医学 Q3 ONCOLOGY
Roger Li, Julio Pow-Sang
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引用次数: 0

Abstract

Since the introduction of radical prostatectomy by Hugh Hampton Young in 1905, this surgery has undergone constant evolution. With increasing appreciation for the impact of functional preservation on cancer survivorship, urologists have been steadfast in their pursuit of precision surgery to eradicate cancer while maximally preserving the surrounding anatomical structures. In the 1990s and 2000s, the introduction of laparoscopic and robotic prostatectomy brought about welcome improvements including decreased intra-operative blood loss, decreased postoperative pain, shorter hospital length of stay, and faster recovery. Recognizing that focality of prostate cancer lends itself well to precision surgery, robotic surgeons have attempted to exploit the enhanced vision and dexterity provided by the instrument to further improve outcomes. Over the last decade, new techniques have been introduced to help reduce the incidence of incontinence and erectile dysfunction, the 2 most often encountered complications following prostatectomy.
如何剥离前列腺:机器人前列腺切除术的演变
自休-汉普顿-杨于 1905 年引入根治性前列腺切除术以来,这种手术经历了不断的演变。随着人们越来越认识到保留功能对癌症存活率的影响,泌尿科医生一直在坚定不移地追求精确手术,在根除癌症的同时最大限度地保留周围的解剖结构。20 世纪 90 年代和 2000 年代,腹腔镜和机器人前列腺切除术的问世带来了可喜的进步,包括减少术中失血、减轻术后疼痛、缩短住院时间和加快术后恢复。由于认识到前列腺癌的病灶非常适合精确手术,机器人外科医生试图利用该器械提供的更佳视野和灵巧性来进一步改善手术效果。在过去的十年中,新技术的引入有助于降低尿失禁和勃起功能障碍的发生率,这也是前列腺切除术后最常遇到的两种并发症。
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来源期刊
Cancer Control
Cancer Control ONCOLOGY-
CiteScore
3.80
自引率
0.00%
发文量
148
审稿时长
>12 weeks
期刊介绍: Cancer Control is a JCR-ranked, peer-reviewed open access journal whose mission is to advance the prevention, detection, diagnosis, treatment, and palliative care of cancer by enabling researchers, doctors, policymakers, and other healthcare professionals to freely share research along the cancer control continuum. Our vision is a world where gold-standard cancer care is the norm, not the exception.
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