Retzius-sparing robotic radical prostatectomy

作     者：Christopher G Eden Christopher G Eden

作者机构：Department of UrologyThe Royal Surrey County HospitalGuildford GU27XXUK 

出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)

年 卷 期：2020年第22卷第2期

页      面：149-151页

核心收录：

学科分类：1002[医学-临床医学] 080202[工学-机械电子工程] 08[工学] 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)] 0804[工学-仪器科学与技术] 0802[工学-机械工程] 10[医学] 

主　　题：robotic radical steps 

摘      要：Traditional approach to the prostate during radical prostatectomy(RP)when performed by open,laparoscopic,or robotic means has been from its anterior aspect first and has involved suture ligation and division of the dorsal vein complex(DVC),division of the puboprostatic ligaments,and incision of the endopelvic fascia on either side of the *** steps are necessary to liberate the prostate from its surrounding attachments,even though concern has always existed about the likely association between disruption of these structures and postprostatectomy incontinence(PPI).Although perineal prostatectomy leaves these structures intact,it has failed to become widely accepted because of the small incidence of postoperative fecal incontinence and the difficulty in performing a pelvic lymphadenectomy(PLND)when this is indicated.