https://scholars.lib.ntu.edu.tw/handle/123456789/543692
標題: | Does robotic prostatectomy meet its promise in the management of prostate cancer? | 作者: | KUO-HOW HUANG Carter S.C. Hu J.C. |
關鍵字: | Continence; Oncological; Open retropubic radical prostatectomy; Outcomes; Potency; Prostate cancer; Robotic-assisted radical prostatectomy | 公開日期: | 2013 | 卷: | 14 | 期: | 3 | 起(迄)頁: | 184-191 | 來源出版物: | Current Urology Reports | 摘要: | Following Walsh's advances in pelvic anatomy and surgical technique to minimize intraoperative peri-prostatic trauma more than 30 years ago, open retropubic radical prostatectomy (RRP) evolved to become the gold standard treatment of localized prostate cancer, with excellent long-term survival outcomes [1?]. However, RRP is performed with great heterogeneity, even among high volume surgeons, and subtle differences in surgical technique result in clinically significant differences in recovery of urinary and sexual function. Since the initial description of robotic-assisted radical prostatectomy (RARP) in 2000 [2], and U.S. Food and Drug Administration approval shortly thereafter, RARP has been rapidly adopted and has overtaken RRP as the most popular surgical approach in the management of prostate cancer in the United States [3]. However, the surgical management of prostate cancer remains controversial. This is confounded by the idolatry of new technologies and aggressive marketing versus conservatism in embracing tradition. Herein, we review the literature to compare RRP to RARP in terms of perioperative, oncologic, and quality-of-life outcomes as well as healthcare costs. This is a particularly relevant, given the absence of randomized trials and long-term (more than 10-year) follow-up for RARP biochemical recurrence-free survival. ? 2013 Springer Science+Business Media New York. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84878705628&doi=10.1007%2fs11934-013-0327-8&partnerID=40&md5=f3462515646dac63424adbff7eb39a88 https://scholars.lib.ntu.edu.tw/handle/123456789/543692 |
ISSN: | 1527-2737 | DOI: | 10.1007/s11934-013-0327-8 | SDG/關鍵字: | article; blood transfusion; cancer recurrence; comparative study; erectile dysfunction; evidence based practice; health care cost; human; intermethod comparison; length of stay; oncological parameters; open retropubic radical prostatectomy; operation duration; outcome assessment; perioperative period; positive surgical margin; postoperative complication; postoperative hemorrhage; postoperative pain; prostate cancer; prostatectomy; quality of life; recurrence free survival; robotic assisted radical prostatectomy; robotics; salvage therapy; surgical mortality; surgical technique; urine incontinence; Disease-Free Survival; Erectile Dysfunction; Health Care Costs; Humans; Male; Prostatectomy; Prostatic Neoplasms; Quality of Life; Robotics; Treatment Outcome; Urinary Incontinence |
顯示於: | 醫學系 |
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