纯腹腔镜和机器人辅助腹腔镜根治性前列腺切除术在前列腺癌治疗中的应用
Pure laparoscopic and robotic-assisted laparoscopic radical prostatectomy in the management of prostate cancer.
作者信息
Pow-Sang Julio M, Velasquez Juan, Myers Michael D, Rodriguez Alejandro R, Kang Loveleen C
机构信息
Genitourinary Oncology Program, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL 33612, USA.
出版信息
Cancer Control. 2007 Jul;14(3):250-7. doi: 10.1177/107327480701400308.
BACKGROUND
Until recently, open radical prostatectomy was the only approach for the surgical management of prostate cancer. Laparoscopy is now increasingly used as an alternative approach. The procedure can be performed directly or with robot assistance.
METHODS
We review the relevant literature regarding oncologic and functional outcomes with laparoscopic surgery in the management of localized prostate cancer.
RESULTS
Oncologic and functional outcomes are similar between open and laparoscopic radical prostatectomy. Pure laparoscopic prostatectomy and robotic assisted laparoscopic prostatectomy result in less blood loss and shorter convalescence. Costs associated with the initial investment, disposables, and maintenance of the robot system are higher than for pure laparoscopic prostatectomy.
CONCLUSIONS
Laparoscopic radical prostatectomy, either pure or robotic, is becoming the preferred approach for the surgical management of localized prostate cancer. Oncologic and functional outcomes are similar to the open approach.
背景
直到最近，开放性根治性前列腺切除术仍是前列腺癌外科治疗的唯一方法。如今，腹腔镜手术越来越多地被用作替代方法。该手术可直接进行或在机器人辅助下进行。
方法
我们回顾了关于腹腔镜手术治疗局限性前列腺癌的肿瘤学和功能结果的相关文献。
结果
开放性和腹腔镜根治性前列腺切除术的肿瘤学和功能结果相似。单纯腹腔镜前列腺切除术和机器人辅助腹腔镜前列腺切除术导致的失血量更少，康复时间更短。与机器人系统的初始投资、一次性用品和维护相关的成本高于单纯腹腔镜前列腺切除术。
结论
单纯或机器人辅助的腹腔镜根治性前列腺切除术正成为局限性前列腺癌外科治疗的首选方法。肿瘤学和功能结果与开放手术相似。
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