Division of Urology, Department of Surgery, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
Int J Urol. 2012 Jan;19(1):7-19. doi: 10.1111/j.1442-2042.2011.02911.x. Epub 2011 Nov 24.
Robotic-assisted laparoscopic prostatectomy has consolidated the position of surgical treatment for localized prostate cancer in the USA. In a few years, it is expected to spread rapidly worldwide. However, surgical anatomy has trailed the advance in surgical techniques of robotic-assisted laparoscopic prostatectomy. Therefore, we reviewed the recent literature, which sometimes refutes the established consensus on pelvic anatomy, for the state-of-the-art technique. We also describe the anatomical findings for each basic step during robotic-assisted laparoscopic prostatectomy, and show evidence-based surgical techniques. Of course, these findings will also be useful for radical retropubic, perineal and conventional laparoscopic prostatectomy. Surgical anatomy should always be developing and changing with advances in surgical approaches.
机器人辅助腹腔镜前列腺切除术在美国已经巩固了局部前列腺癌的手术治疗地位。在未来几年，预计它将在全球范围内迅速普及。然而，与机器人辅助腹腔镜前列腺切除术的手术技术进步相比，手术解剖学的发展相对滞后。因此，我们回顾了最新的文献，其中一些文献对盆腔解剖的既定共识提出了质疑，以了解当前的技术水平。我们还描述了机器人辅助腹腔镜前列腺切除术的每个基本步骤的解剖学发现，并展示了基于证据的手术技术。当然，这些发现对于根治性经耻骨后前列腺切除术、经会阴前列腺切除术和传统腹腔镜前列腺切除术也同样有用。随着手术方法的进步，手术解剖学应该不断发展和变化。
