Early experience with implementing enhanced recovery after surgery protocol during robot-assisted radical prostatectomy

Robot-Assisted Radical Prostatectomy After Previous Prostate Surgery

BACKGROUND AND OBJECTIVES Our objective is to clarify the effect of previous transurethral resection of the prostate (TURP) or open prostatectomy (OP) on surgical, oncological, and functional outcomes after robot-assisted radical prostatectomy (RARP). METHODS Between August 1, 2009, and March 31, 2013, 380 patients underwent RARP. Of these, 25 patients had undergone surgery for primary bladde...

Robot-Assisted Radical Prostatectomy

Robot-assisted laparoscopic radical prostatectomy

Robot-assisted laparoscopic radical prostatectomy (RALRP) using the da Vinci surgical system is now in widespread use in many countries where economic conditions allow the installation of this expensive technology. Controversy has surrounded the procedure since it was first performed in 2000, with many critics highlighting the lack of evidence to support its use. However, despite the lack of le...

Robot-assisted Laparoscopic Radical Prostatectomy

206 현재 국소 전립선암의 치료에 있어 최선의 치료 방법은 근치적 전립선적출술이다. 지난 10여 년 동안 복강경 근치 적 전립선적출술은 기존의 개복 근치적 전립선적출술의 최 소 침습적인 수술법으로 발전되어 왔다. 그동안 알려진 복 강경 근치적 전립선적출술의 장점으로는 전체적인 성공률 은 개복 수술과 비교할 때 비슷하면서 재원기간의 감소, 술 후 위험도의 감소, 회복기간의 감소, 사회활동 복귀 기간의 단축, 출혈량의 감소 등이다. 1 본 기관에서도 복강경 근치적 전립선적출술을 시행하였으며 상기의 장점을 확인할 수 있 었다. 2 반면에 복강경 근치적 전립선적출술은 긴 학습시간, 숙련된 경험 없이 시행이 어려운 점, 손놀림의 거울효과 (counter-intuitive movements), 경성의 기구, 2...

Surgical Techniques to Optimize Early Urinary Continence Recovery Post Robot Assisted Radical Prostatectomy for Prostate Cancer

PURPOSE OF REVIEW A variety of different surgical techniques are thought to impact on urinary continence (UC) recovery in patients undergoing robot assisted radical prostatectomy (RARP) for prostate cancer. Herein, we review current evidence and propose a composite evidence-based technique to optimize UC recovery after RARP. RECENT FINDINGS A literature search on studies reporting on surgical...