Robot-Assisted Radical Prostatectomy: The Evolution of Technique
Radical prostatectomy (RP) is a gold standard treatment of localized prostate cancer. Since the introduction of da Vinci robot, robot-assisted radical prostatectomy (RARP) has been replacing open and laparoscopic RP rapidly. RARP surgical techniques have been evolved by many surgeons and it is still ongoing. These surgical techniques are focused on improving functional outcomes after the surgery. The functional outcomes including preservation of continence and erectile function is vital to the patients especially who are young and sexually active. As a result, the evolution of techniques regarding continence and erectile function are improving the quality of life of prostate cancer survivor.
KeywordsRobot Radical prostatectomy Technique
To Dr. Kwon and Dr. Rha for permitting to publish surgical pictures of their own.
- Asimakopoulos AD, Annino F, D’Orazio A, Pereira CF, Mugnier C, Hoepffner JL, et al. Complete periprostatic anatomy preservation during robot-assisted laparoscopic radical prostatectomy (RALP): the new pubovesical complex-sparing technique. Eur Urol. 2010;58(3):407–17.Google Scholar
- Cusumano S, Annino F, Selas ER, Hanna S, Piechaud T, Gaston R. Feasibility, technique, and principles of tension- and energy-free laparoscopic radical prostatectomy with lateral intrafascial dissection of the neurovascular bundles with the use of a high-definition optical device. J Endourol. 2008;22(9):1981–7.PubMedGoogle Scholar
- Jeong W, Kumar R, Menon M. Past, present and future of urological robotic surgery. Invest Clin Urol. 2016;57(2):75–83.Google Scholar
- Kaul S, Sammon J, Bhandari A, Peabody J, Rogers CG, Menon M. A novel method of urethrovesical anastomosis during robot-assisted radical prostatectomy using a unidirectional barbed wound closure device: feasibility study and early outcomes in 51 patients. J Endourol. 2010;24(11):1789–93.PubMedGoogle Scholar
- Laviana AA, Williams SB, King ED, Chuang RJ, Hu JC. Robot assisted radical prostatectomy: the new standard? Eur Urol. 2015;67(1):47–53.Google Scholar
- Young HH. VIII. Conservative perineal prostatectomy: the results of two years’ experience and report of seventy-five cases. Ann Surg. 1905;41(4):549–57.Google Scholar