Pure and robotic-assisted laparoscopic radical prostatectomy: technology and techniques merge to improve outcomes.
Identifieur interne : 004A73 ( Main/Exploration ); précédent : 004A72; suivant : 004A74Pure and robotic-assisted laparoscopic radical prostatectomy: technology and techniques merge to improve outcomes.
Auteurs : Julio Pow-Sang [États-Unis]Source :
- Expert review of anticancer therapy [ 1744-8328 ] ; 2008.
English descriptors
- KwdEn :
- MESH :
- instrumentation : Prostatectomy, Robotics.
- methods : Laparoscopy, Prostatectomy, Robotics.
- surgery : Prostatic Neoplasms.
- Humans, Male, Treatment Outcome.
Abstract
Laparoscopic radical prostatectomy is rapidly becoming the preferred approach in the surgical management of prostate cancer. The enhanced visibility provided to the surgeon by magnification allows for a better definition of anatomical landmarks, which were not apparent with open, nonmagnified surgery. Recent descriptions of the periprostatic anatomy, including the fascial layers surrounding the prostate, the structure of the neurovascular bundles and the components of the urethral sphincteric complex, allow the surgeon to refine available surgical techniques and create new ones with the goal of maximizing potency and continence preservation. The advent of the da Vinci robot to assist laparoscopic surgery served as a platform to enhance the surgeon' laparoscopic skills and to define further technological needs, such as better 3D vision systems and the development of hand-held articulating instruments that maintain haptic perception. This review summarizes the newer technologies available, recent anatomical descriptions of the periprostatic area and refinements in technique. The ultimate goal of the merge of technology with refinements in technique and a better anatomical understanding is to continue to improve the surgical outcomes with laparoscopy.
DOI: 10.1586/14737140.8.1.15
PubMed: 18095879
Affiliations:
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Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Pure and robotic-assisted laparoscopic radical prostatectomy: technology and techniques merge to improve outcomes.</title><author><name sortKey="Pow Sang, Julio" sort="Pow Sang, Julio" uniqKey="Pow Sang J" first="Julio" last="Pow-Sang">Julio Pow-Sang</name><affiliation wicri:level="4"><nlm:affiliation>H Lee Moffitt Cancer Center, University of South Florida, Division of GU Oncology, Department of Interdisciplinary Oncology, Tampa, FL, USA. julio.powsang@moffitt.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>H Lee Moffitt Cancer Center, University of South Florida, Division of GU Oncology, Department of Interdisciplinary Oncology, Tampa, FL</wicri:regionArea><placeName><region type="state">Floride</region></placeName><orgName type="university">Université de Floride du Sud</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="doi">10.1586/14737140.8.1.15</idno><idno type="RBID">pubmed:18095879</idno><idno type="pmid">18095879</idno><idno type="wicri:Area/PubMed/Corpus">001537</idno><idno type="wicri:Area/PubMed/Curation">001537</idno><idno type="wicri:Area/PubMed/Checkpoint">001226</idno><idno type="wicri:Area/Ncbi/Merge">000D11</idno><idno type="wicri:Area/Ncbi/Curation">000D11</idno><idno type="wicri:Area/Ncbi/Checkpoint">000D11</idno><idno type="wicri:Area/Main/Merge">004B68</idno><idno type="wicri:Area/Main/Curation">004A73</idno><idno type="wicri:Area/Main/Exploration">004A73</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Pure and robotic-assisted laparoscopic radical prostatectomy: technology and techniques merge to improve outcomes.</title><author><name sortKey="Pow Sang, Julio" sort="Pow Sang, Julio" uniqKey="Pow Sang J" first="Julio" last="Pow-Sang">Julio Pow-Sang</name><affiliation wicri:level="4"><nlm:affiliation>H Lee Moffitt Cancer Center, University of South Florida, Division of GU Oncology, Department of Interdisciplinary Oncology, Tampa, FL, USA. julio.powsang@moffitt.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>H Lee Moffitt Cancer Center, University of South Florida, Division of GU Oncology, Department of Interdisciplinary Oncology, Tampa, FL</wicri:regionArea><placeName><region type="state">Floride</region></placeName><orgName type="university">Université de Floride du Sud</orgName></affiliation></author></analytic><series><title level="j">Expert review of anticancer therapy</title><idno type="eISSN">1744-8328</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term><term>Laparoscopy (methods)</term><term>Male</term><term>Prostatectomy (instrumentation)</term><term>Prostatectomy (methods)</term><term>Prostatic Neoplasms (surgery)</term><term>Robotics (instrumentation)</term><term>Robotics (methods)</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Prostatectomy</term><term>Robotics</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laparoscopy</term><term>Prostatectomy</term><term>Robotics</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Prostatic Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Male</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Laparoscopic radical prostatectomy is rapidly becoming the preferred approach in the surgical management of prostate cancer. The enhanced visibility provided to the surgeon by magnification allows for a better definition of anatomical landmarks, which were not apparent with open, nonmagnified surgery. Recent descriptions of the periprostatic anatomy, including the fascial layers surrounding the prostate, the structure of the neurovascular bundles and the components of the urethral sphincteric complex, allow the surgeon to refine available surgical techniques and create new ones with the goal of maximizing potency and continence preservation. The advent of the da Vinci robot to assist laparoscopic surgery served as a platform to enhance the surgeon' laparoscopic skills and to define further technological needs, such as better 3D vision systems and the development of hand-held articulating instruments that maintain haptic perception. This review summarizes the newer technologies available, recent anatomical descriptions of the periprostatic area and refinements in technique. The ultimate goal of the merge of technology with refinements in technique and a better anatomical understanding is to continue to improve the surgical outcomes with laparoscopy.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li></region><orgName><li>Université de Floride du Sud</li></orgName></list><tree><country name="États-Unis"><region name="Floride"><name sortKey="Pow Sang, Julio" sort="Pow Sang, Julio" uniqKey="Pow Sang J" first="Julio" last="Pow-Sang">Julio Pow-Sang</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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