Vattikuti Urology Institute, Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202, USA.
Vattikuti Urology Institute, Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202, USA.
Urol Clin North Am. 2014 Nov;41(4):473-84. doi: 10.1016/j.ucl.2014.07.002. Epub 2014 Aug 22.
Robot-assisted radical prostatectomy (RARP) offers excellent and lasting oncologic control. Technical refinements in apical dissection, such as the retroapical approach of synchronous urethral transection, and adoption of real-time frozen section analysis of the excised prostate during RARP have substantially reduced positive surgical margin rates, particularly in high-risk disease patients. Furthermore, precision offered by the robotic platform and technical evolution of radical prostatectomy, including enhanced nerve sparing (veil), have led to improved potency and continence outcomes as well as better safety profile in patients undergoing surgical therapy for prostate cancer.
机器人辅助根治性前列腺切除术（RARP）可提供出色且持久的肿瘤控制效果。在顶端解剖方面的技术改进，如同步切断尿道的逆行顶端入路，以及在 RARP 期间采用切除前列腺的实时冷冻切片分析，大大降低了阳性手术切缘率，尤其是在高危疾病患者中。此外，机器人平台提供的精准性和根治性前列腺切除术的技术演进，包括增强的神经保留（筋膜），使得接受前列腺癌手术治疗的患者在勃起功能和控尿方面的结果得到改善，且安全性更好。
