Newer concepts in neural anatomy and neurovascular preservation in robotic radical prostatectomy
Identifieur interne : 000123 ( Pmc/Checkpoint ); précédent : 000122; suivant : 000124Newer concepts in neural anatomy and neurovascular preservation in robotic radical prostatectomy
Auteurs : Sailaja Pisipati [États-Unis] ; Adnan Ali [États-Unis] ; Rao S. Mandalapu [États-Unis] ; George K. Haines Iii [États-Unis] ; Paras Singhal [États-Unis] ; Balaji N. Reddy [États-Unis] ; Robert Leung [États-Unis] ; Ashutosh K. Tewari [États-Unis]Source :
- Indian Journal of Urology : IJU : Journal of the Urological Society of India [ 0970-1591 ] ; 2014.
Abstract
With more than 60% of radical prostatectomies being performed robotically, robotic-assisted laparoscopic prostatectomy (RALP) has largely replaced the open and laparoscopic approaches and has become the standard of care surgical treatment option for localized prostate cancer in the United States. Accomplishing negative surgical margins while preserving functional outcomes of sexual function and continence play a significant role in determining the success of surgical intervention, particularly since the advent of nerve-sparing (NS) robotic prostatectomy. Recent evidence suggests that NS surgery improves continence in addition to sexual function. In this review, we describe the neuroanatomical concepts and recent developments in the NS technique of RALP with a view to improving the “trifecta” outcomes.
Url:
DOI: 10.4103/0970-1591.142064
PubMed: 25378822
PubMed Central: 4220380
Affiliations:
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Tewari</name><affiliation wicri:level="2"><nlm:aff id="aff1">Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><series><title level="j">Indian Journal of Urology : IJU : Journal of the Urological Society of India</title><idno type="ISSN">0970-1591</idno><idno type="eISSN">1998-3824</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>With more than 60% of radical prostatectomies being performed robotically, robotic-assisted laparoscopic prostatectomy (RALP) has largely replaced the open and laparoscopic approaches and has become the standard of care surgical treatment option for localized prostate cancer in the United States. Accomplishing negative surgical margins while preserving functional outcomes of sexual function and continence play a significant role in determining the success of surgical intervention, particularly since the advent of nerve-sparing (NS) robotic prostatectomy. Recent evidence suggests that NS surgery improves continence in addition to sexual function. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Urol</journal-id><journal-id journal-id-type="iso-abbrev">Indian J Urol</journal-id><journal-id journal-id-type="publisher-id">IJU</journal-id><journal-title-group><journal-title>Indian Journal of Urology : IJU : Journal of the Urological Society of India</journal-title></journal-title-group><issn pub-type="ppub">0970-1591</issn><issn pub-type="epub">1998-3824</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25378822</article-id><article-id pub-id-type="pmc">4220380</article-id><article-id pub-id-type="publisher-id">IJU-30-399</article-id><article-id pub-id-type="doi">10.4103/0970-1591.142064</article-id><article-categories><subj-group subj-group-type="heading"><subject>Symposium</subject></subj-group></article-categories><title-group><article-title>Newer concepts in neural anatomy and neurovascular preservation in robotic radical prostatectomy</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Pisipati</surname><given-names>Sailaja</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Ali</surname><given-names>Adnan</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Mandalapu</surname><given-names>Rao S.</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Haines III</surname><given-names>George K.</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib><contrib contrib-type="author"><name><surname>Singhal</surname><given-names>Paras</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Reddy</surname><given-names>Balaji N.</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Leung</surname><given-names>Robert</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Tewari</surname><given-names>Ashutosh K.</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib></contrib-group><aff id="aff1">Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA</aff><aff id="aff2"><label>1</label>Department of Pathology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA</aff><author-notes><corresp id="cor1"><bold>For correspondence:</bold> Dr. Ashutosh K. Tewari, Department of Urology, The Carroll and Milton Petrie Foundation, Icahn School of Medicine at Mount Sinai, 1425 Madison Avenue, L6-50, New York, NY 10029, USA. E-mail: <email xlink:href="ashtewari@mountsinai.org">ashtewari@mountsinai.org</email></corresp></author-notes><pub-date pub-type="ppub"><season>Oct-Dec</season><year>2014</year></pub-date><volume>30</volume><issue>4</issue><fpage>399</fpage><lpage>409</lpage><permissions><copyright-statement>Copyright: © Indian Journal of Urology</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>With more than 60% of radical prostatectomies being performed robotically, robotic-assisted laparoscopic prostatectomy (RALP) has largely replaced the open and laparoscopic approaches and has become the standard of care surgical treatment option for localized prostate cancer in the United States. Accomplishing negative surgical margins while preserving functional outcomes of sexual function and continence play a significant role in determining the success of surgical intervention, particularly since the advent of nerve-sparing (NS) robotic prostatectomy. Recent evidence suggests that NS surgery improves continence in addition to sexual function. In this review, we describe the neuroanatomical concepts and recent developments in the NS technique of RALP with a view to improving the “trifecta” outcomes.</p></abstract><kwd-group><kwd>Prostatic neuroanatomy</kwd><kwd>nerve sparing</kwd><kwd>robotic assisted laparoscopic prostatectomy</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Pisipati, Sailaja" sort="Pisipati, Sailaja" uniqKey="Pisipati S" first="Sailaja" last="Pisipati">Sailaja Pisipati</name></region><name sortKey="Ali, Adnan" sort="Ali, Adnan" uniqKey="Ali A" first="Adnan" last="Ali">Adnan Ali</name><name sortKey="Haines Iii, George K" sort="Haines Iii, George K" uniqKey="Haines Iii G" first="George K." last="Haines Iii">George K. Haines Iii</name><name sortKey="Leung, Robert" sort="Leung, Robert" uniqKey="Leung R" first="Robert" last="Leung">Robert Leung</name><name sortKey="Mandalapu, Rao S" sort="Mandalapu, Rao S" uniqKey="Mandalapu R" first="Rao S." last="Mandalapu">Rao S. Mandalapu</name><name sortKey="Reddy, Balaji N" sort="Reddy, Balaji N" uniqKey="Reddy B" first="Balaji N." last="Reddy">Balaji N. Reddy</name><name sortKey="Singhal, Paras" sort="Singhal, Paras" uniqKey="Singhal P" first="Paras" last="Singhal">Paras Singhal</name><name sortKey="Tewari, Ashutosh K" sort="Tewari, Ashutosh K" uniqKey="Tewari A" first="Ashutosh K." last="Tewari">Ashutosh K. Tewari</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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