Borden Lester S, Kozlowski Paul M
Section of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, WA, USA.
ScientificWorldJournal. 2006 Aug 7;6:2589-061. doi: 10.1100/tsw.2006.400.
Robotic-assisted laparoscopic radical prostatectomy (RLRP) has become an accepted treatment option for men with prostate cancer. A search of the available literature through January 2006 was performed to analyze the surgical technique, outcomes data, and other unique issues regarding RLRP. While prospective, randomized trials and long-term data are lacking, short-term data from single institution series have demonstrated outcomes for RLRP that appear to be equivalent to those for open radical prostatectomy (ORP). Although not yet proven, some encouraging data suggest that RLRP may be able to achieve improved cancer control, postoperative urinary control, and erectile function compared to open surgery for prostate cancer. Definite advantages of RLRP over ORP are not yet established. Future studies will determine the role of RLRP in the surgical treatment of men with prostate cancer.
机器人辅助腹腔镜根治性前列腺切除术（RLRP）已成为前列腺癌男性患者公认的治疗选择。通过检索截至2006年1月的现有文献，对RLRP的手术技术、疗效数据及其他相关独特问题进行分析。虽然缺乏前瞻性随机试验和长期数据，但单机构系列的短期数据显示，RLRP的疗效似乎与开放性根治性前列腺切除术（ORP）相当。尽管尚未得到证实，但一些令人鼓舞的数据表明，与前列腺癌开放手术相比，RLRP可能在癌症控制、术后尿控和勃起功能方面取得更好的效果。RLRP相对于ORP的明确优势尚未确立。未来的研究将确定RLRP在前列腺癌男性手术治疗中的作用。
