دورية أكاديمية
Single-port robot-assisted radical prostatectomy.
| العنوان: | Single-port robot-assisted radical prostatectomy. |
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| المؤلفون: | Soputro NA; Glickman Urological & Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Glickman Tower, Q10, Cleveland, OH, 44195, USA., Kaouk J; Glickman Urological & Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Glickman Tower, Q10, Cleveland, OH, 44195, USA. kaoukj@ccf.org. |
| المصدر: | World journal of urology [World J Urol] 2024 Apr 20; Vol. 42 (1), pp. 245. Date of Electronic Publication: 2024 Apr 20. |
| نوع المنشور: | Review; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Country of Publication: Germany NLM ID: 8307716 Publication Model: Electronic Cited Medium: Internet ISSN: 1433-8726 (Electronic) Linking ISSN: 07244983 NLM ISO Abbreviation: World J Urol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Berlin ; New York] : Springer International, 1983- |
| مواضيع طبية MeSH: | Robotic Surgical Procedures*/methods , Robotics* , Prostatic Neoplasms*/surgery, Male ; Humans ; Quality of Life ; Prostate/surgery ; Prostatectomy/methods ; Treatment Outcome |
| مستخلص: | Purpose: To provide a comprehensive update on the different techniques and outcomes of contemporary Single-Port (SP) Robotic Radical Prostatectomy (RARP) approaches. Methods: A literature review was performed to identify cohort studies that have utilized the purpose-built SP robotic platform (Intuitive Surgical Inc., Sunnyvale, California) for RARP. All published approaches of SP-RARP were included in our review. Baseline clinical, perioperative, and postoperative oncological and functional outcomes were collected from the included studies. Results: A total of 16 studies involving 1159 patients were identified. To date, five approaches of SP-RARP have been described, namely Transperitoneal, Extraperitoneal, Retzius-Sparing, Transperineal, and Transvesical. The surgical steps and clinical outcomes of the aforementioned approaches were discussed. While operating times were still faster in the Transperitoneal and Extraperitoneal cohorts, the novel and more regionalized Transvesical approach allowed for radical prostatectomy to be pursued in more patients with previous abdominal surgeries and contributed to significantly improved postoperative outcomes, including the earlier return of urinary continence and with most patients being discharged on the same day without any opioids. Conclusion: Based on the existing literature, the introduction of SP-RARP not only enriched the repertoire of minimally-invasive surgical treatment options for prostate cancer but also provided the opportunity for urologists to develop new techniques that can improve perioperative outcomes and postoperative quality of life. Given the limited number of patients and heterogeneity in the patient selection and reporting of postoperative outcomes, further research remains necessary to better understand the different benefits and improve patient selection algorithms for the different techniques. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Minimally invasive surgery; Prostate cancer; Radical prostatectomy; Robotic surgery; Single port |
| تواريخ الأحداث: | Date Created: 20240420 Date Completed: 20240422 Latest Revision: 20240426 |
| رمز التحديث: | 20240426 |
| مُعرف محوري في PubMed: | PMC11032265 |
| DOI: | 10.1007/s00345-024-04914-5 |
| PMID: | 38643347 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1433-8726 |
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| DOI: | 10.1007/s00345-024-04914-5 |