Martinez-Salamanca Juan I, Ramanathan Rajan, Rao Sandhya, Mandhani Anil, Leung Robert, Horninger Wolfgang, Takenaka Astushi, Carballido Joaquin, Tu Jiangling, Vaughan Darracott, Tewari Ashutosh
Department of Urology, Laboratory Science, New York-Presbyterian Hospital, Weill Medical College of Cornell University, New York, New York 10021, USA.
J Endourol. 2008 Jun;22(6):1137-46. doi: 10.1089/end.2008.0097.
Robot-assisted radical prostatectomy is an option for surgical management of clinically localized prostate cancer. There have been theoretical concerns, however, regarding lack of anatomic data with specific relevance to robot-assisted prostatectomy, use of thermal or electrical energy during nerve sparing, and lack of tactile feedback. To address these concerns, we have revisited anatomic foundations and have incorporated a few modifications and strategies in the technique of robot-assisted prostatectomy to maximize cancer control, preserve neurovascular tissue, and emulate time-tested steps of anatomic radical prostatectomy. We present our findings about neural anatomy, modified technique, and oncologic and functional outcomes from patients who have undergone this procedure at our institution.
机器人辅助根治性前列腺切除术是临床局限性前列腺癌手术治疗的一种选择。然而，对于与机器人辅助前列腺切除术特别相关的解剖学数据的缺乏、保留神经过程中热能或电能的使用以及触觉反馈的缺失，一直存在理论上的担忧。为了解决这些担忧，我们重新审视了解剖学基础，并在机器人辅助前列腺切除术技术中纳入了一些修改和策略，以最大限度地控制癌症、保留神经血管组织，并模拟经过时间考验的解剖性根治性前列腺切除术步骤。我们展示了我们关于神经解剖学、改良技术以及在我们机构接受该手术的患者的肿瘤学和功能结果的研究发现。
