TY - JOUR
T1 - Anatomic robotic prostatectomy
T2 - current best practice
AU - Martini, Alberto
AU - Tewari, Ashutosh Kumar
N1 - Publisher Copyright:
© The Author(s), 2019.
PY - 2019
Y1 - 2019
N2 - Urologic prostate surgery has changed dramatically over the past decades. Following the introduction of the robot, the surgical approach has been modified and thanks to the magnification allowed by the robot a further level of precision can be achieved. Moreover, advances in the anatomical studies have provided new evidence regarding the periprostatic anatomy. The aim of this review is to describe our approach to robot-assisted radical prostatectomy. Our holistic perspective towards patient selection, pre- and postoperative care is provided. In our center, robot-assisted radical prostatectomy is performed by means of an anterograde approach. A nonbladder-sparing dissection with a graded approach towards nerve preservation is carried out. The procedure is concluded with what we call ‘total anatomical reconstruction’.
AB - Urologic prostate surgery has changed dramatically over the past decades. Following the introduction of the robot, the surgical approach has been modified and thanks to the magnification allowed by the robot a further level of precision can be achieved. Moreover, advances in the anatomical studies have provided new evidence regarding the periprostatic anatomy. The aim of this review is to describe our approach to robot-assisted radical prostatectomy. Our holistic perspective towards patient selection, pre- and postoperative care is provided. In our center, robot-assisted radical prostatectomy is performed by means of an anterograde approach. A nonbladder-sparing dissection with a graded approach towards nerve preservation is carried out. The procedure is concluded with what we call ‘total anatomical reconstruction’.
KW - prostate cancer
KW - prostatic anatomy
KW - robot-assisted radical prostatectomy
KW - total anatomical reconstruction
UR - http://www.scopus.com/inward/record.url?scp=85059866719&partnerID=8YFLogxK
U2 - 10.1177/1756287218813789
DO - 10.1177/1756287218813789
M3 - Review article
AN - SCOPUS:85059866719
SN - 1756-2872
VL - 11
JO - Therapeutic Advances in Urology
JF - Therapeutic Advances in Urology
ER -