Nerve-sparing robot-assisted radical prostatectomy:Current perspectives

作     者：Anup Kumar Vipul RPatel Sridhar Panaiyadiyan Kulthe Ramesh Seetharam Bhat Marcio Covas Moschovas Brusabhanu Nayak 

作者机构：Department of UrologyRobotics and Renal TransplantVardhman Mahaveer Medical College and Safdarjang HospitalNew DelhiIndia Department of Robotic SurgeryAdventHealth Global Robotics InstituteCelebrationFLUSA Department of UrologyAll India Institute of Medical SciencesNew DelhiIndia 

出 版 物：《Asian Journal of Urology》 (亚洲泌尿外科杂志（英文）)

年 卷 期：2021年第8卷第1期

页      面：2-13页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Prostatectomy Robot-assisted radical prostatectomy Nerve-sparing 

摘      要：Robotic-assisted radical prostatectomy(RARP)is the current standard of care with long term cure in organ-confined *** introduction of nerve-sparing(NS)to standard RARP has shown positive results in terms of functional outcomes in addition to the oncological *** article reviews the current perspectives of NS-RARP in terms of applied anatomy of the prostatic fascial planes,the neurovascular bundle(NVB),various NS techniques and postoperative functional outcomes.A non-systematic review was done using PubMed,Embase and Medline databases to retrieve and analyse articles in English,with following keywords“prostate cancer,“robotic radical prostatectomy,“nerve-sparing.The Delphi method was used with an expert panel of robotic surgeons in urology to analyse the potency outcomes of various published comparative and non-comparative *** literature has shown that NS-RARP involves various techniques and approaches while there is a lack of randomized studies to suggest the superiority of one over the *** such as preoperative risk assessments,baseline potency,surgical anatomy of individual patients and surgeons’expertise play a major role in the outcomes.A tailored approach for each patient is required for applying the NS approach during RARP.