Pushkar D Yu, Kolontarev K B
Chair of Urology, Evdokimov Moscow State University of Medicine and Dentistry of Ministry of Health of the Russia, Moscow, Russia.
Khirurgiia (Mosk). 2019(3):111-120. doi: 10.17116/hirurgia2019031111.
Robot-assisted operations as widely used in urology, gynecology, general and cardiovascular surgery are considered by many experts as a new 'gold standard' of surgical treatment of various diseases in developed countries. Robot-assisted radical prostatectomy for prostate cancer is the most common robotic procedure. Better functional outcomes of robot-assisted radical prostatectomy are due to another (new) understanding of pelvic surgical anatomy, new approach implying dissection and preservation of external urethral sphincter and neurovascular structures. Prostate neuroanatomy, various approaches to preserve neurovascular structures and own experience of nerve-sparing robot-assisted radical prostatectomy with functional results are reviewed in the article.
机器人辅助手术在泌尿外科、妇科、普通外科和心血管外科中广泛应用，在发达国家，许多专家认为它是各种疾病外科治疗的新“金标准”。机器人辅助根治性前列腺切除术是治疗前列腺癌最常见的机器人手术。机器人辅助根治性前列腺切除术能取得更好的功能效果，这得益于对盆腔手术解剖学的另一种（新的）认识，即意味着解剖和保留尿道外括约肌及神经血管结构的新方法。本文回顾了前列腺神经解剖学、保留神经血管结构的各种方法以及保留神经的机器人辅助根治性前列腺切除术的自身经验和功能结果。
