Bhat Kulthe Ramesh Seetharam, Raghunath S K, Srivatsa N, Tejus C, Vishruth K, Kumar R Anil
Trustwell Hospital, No 5, J C Road, Bangalore, 560002 India.
HCG Hospital, Bengaluru, Karnataka India.
Indian J Surg Oncol. 2020 Dec;11(4):580-588. doi: 10.1007/s13193-020-01125-3. Epub 2020 Jun 11.
Prostatectomy has been widely accepted as a treatment option for prostate cancer and can be performed via an open, laparoscopic, and robotic approach. The outcomes following prostatectomy are primarily sub-grouped into oncological and functional outcomes. Oncological outcomes have been comparable in the above three surgical modalities. However, the robotic platform seems to have a better functional outcome compared to open prostatectomy. The data on the outcome of the laparoscopic approach is scarce and is not widely performed due to technical difficulty. With experience continence outcomes have reached a plateau in many robotic series, however, the potency outcome is the real Achilles tendon of this procedure. Many factors influence potency outcomes but the amount and quality of nerve-sparing is one factor that is under a surgeon's control and it improves with experience.
前列腺切除术已被广泛接受为前列腺癌的一种治疗选择,可通过开放、腹腔镜和机器人辅助的方式进行。前列腺切除术后的结果主要分为肿瘤学结果和功能结果。上述三种手术方式的肿瘤学结果相当。然而,与开放性前列腺切除术相比,机器人辅助平台似乎具有更好的功能结果。关于腹腔镜手术结果的数据较少,且由于技术难度大而未广泛开展。随着经验的积累,许多机器人辅助手术系列中的控尿结果已达到平稳状态,然而,性功能恢复结果是该手术真正的薄弱环节。许多因素影响性功能恢复结果,但保留神经的数量和质量是外科医生能够控制的一个因素,并且随着经验的增加而改善。