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Robot-Assisted Radical Prostatectomy

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The SAGES Atlas of Robotic Surgery

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Abstract

Radical prostatectomy (RP) is the surgical removal of the prostate and seminal vesicles for the treatment of prostate cancer. The National Comprehensive Cancer Network (NCCN) recommends RP as an option for men in all risk groups of localized disease. With an initial series dating back to 2001, robot-assisted radical prostatectomy (RARP) was one of the earliest robotic procedures to reach clinical practice and remains one of the most commonly performed [1]. From a technical and procedural standpoint, the transperitoneal approach to RARP represents a paradigm shift away from traditional open retropubic RP. Over time, refinements to the surgical technique have evolved, although basic principles of RARP have endured. The widespread dissemination of RARP worldwide has continued despite a scarcity of high-level evidence for its superiority compared to other surgical approaches. Outcomes exceeding 10 years post RARP have now been published reporting biochemical recurrence-free survival of 73% and cancer-specific survival of 99% [2]. A systematic review of the literature showed reduced blood loss and transfusion rates with RARP with possible improvements in continence and potency recovery [3–5].

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Author information

Authors and Affiliations

  1. Division of Urology and Urologic Oncology, City of Hope Comprehensive Cancer Center, Duarte, CA, USA

    Bertram Yuh MD, MSHCPM, MISM

  2. VA Long Beach Healthcare System, Long Beach, CA, USA

    Greg Gin MD

Authors
  1. Bertram Yuh MD, MSHCPM, MISM
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  2. Greg Gin MD
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Corresponding author

Correspondence to Bertram Yuh MD, MSHCPM, MISM .

Editor information

Editors and Affiliations

  1. Department of Surgery, City of Hope National Medical Center, Duarte, CA, USA

    Yuman Fong

  2. Department of Surgery, City of Hope National Medical Center, Duarte, CA, USA

    Yanghee Woo

  3. Robotic Surgery, Yonsei University Health System, Seoul, Korea (Republic of)

    Woo Jin Hyung

  4. Department of Surgery, Division of Urology and Urologic Oncology, City of Hope National Medical Center, Duarte, CA, USA

    Clayton Lau

  5. Department of Surgery, Gastric and Mixed Tumor Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Vivian E. Strong

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Yuh, B., Gin, G. (2018). Robot-Assisted Radical Prostatectomy. In: Fong, Y., Woo, Y., Hyung, W., Lau, C., Strong, V. (eds) The SAGES Atlas of Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-91045-1_12

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  • DOI: https://doi.org/10.1007/978-3-319-91045-1_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-91043-7

  • Online ISBN: 978-3-319-91045-1

  • eBook Packages: MedicineMedicine (R0)

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