机器人辅助根治性前列腺切除术与开放性根治性前列腺切除术的疗效比较。
Comparative effectiveness of robotic and open radical prostatectomy.
作者信息
Pessoa Rodrigo Rodrigues, Maroni Paul, Kukreja Janet, Kim Simon P
机构信息
Division of Urology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA.
Cancer Outcomes and Public Policy Effectiveness Research (COPPER), Yale University, New Haven, Connecticut.
出版信息
Transl Androl Urol. 2021 May;10(5):2158-2170. doi: 10.21037/tau.2019.12.01.
Abstract
Radical prostatectomy (RP) has undergone a remarkable transformation from open to minimally-invasive surgery over the last two decades. However, it is important to recognize there is still conflicting evidence regarding key outcomes. We aimed to summarize current literature on comparative effectiveness of robotic and open RP for key outcomes including oncologic results, health-related quality of life (HRQOL) measures, safety and postoperative complications, and healthcare costs. The bulk of the paper will discuss and interpret limitations of current data. Finally, we will also highlight future directions of both surgical approaches and its potential impact on health care delivery.
摘要
在过去二十年中，根治性前列腺切除术（RP）已从开放手术显著转变为微创手术。然而，重要的是要认识到，关于关键结局仍存在相互矛盾的证据。我们旨在总结当前关于机器人辅助根治性前列腺切除术和开放根治性前列腺切除术在关键结局方面比较有效性的文献，这些关键结局包括肿瘤学结果、健康相关生活质量（HRQOL）指标、安全性和术后并发症以及医疗成本。本文的大部分内容将讨论和解释当前数据的局限性。最后，我们还将强调两种手术方法的未来方向及其对医疗服务的潜在影响。
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