Robot assisted radical prostatectomy: current concepts.

摘要: Laparoscopic cholecystectomy has evolved from being a reluctantly accepted novelty to the most widely adopted procedure. It reached high popularity even before randomized trials could be carried out. Open was at one time considered ''gold standard'', only replaced by laparoscopic cholecystectomy. Today same is happening with radical prostatectomy. prostatectomy (ORP) reference standard. Afterwards, came (LRP), which matched ORP in terms of trifecta oncological, continence and sexual function outcomes. Robot-assisted (RARP) next step evolution. Since 2000, it become very widespread because private practice promotion among surgeons marketing hype manufacturers. Furthermore, patients ask for this operation. In last eight years, there been rise conceptual changes, especially operative techniques, improve outcomes following RARP. This review will focus on some key concepts emerged field robotic surgery, The lack controlled makes difficult make true comparisons ORP, LRP other methods treating localized prostate cancer.