Regional Cost Variations of Robot-Assisted Radical Prostatectomy Compared With Open Radical Prostatectomy

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...

Open radical prostatectomy reproducing robot-assisted radical prostatectomy: Involving antegrade nerve sparing and continuous anastomosis

PURPOSE To present modified RRP using the same method as RALP and compare its surgical outcomes with RALP. MATERIALS AND METHODS Demographics, perioperative and functional outcomes of the 322 patients that underwent RRP (N=99) or RALP (N=223) at our institution from January 2011 through June 2013 were evaluated retrospectively. Postoperative incontinence and erectile dysfunction are involved ...

The case for robot-assisted radical prostatectomy.

MANAGEMENT of clinically localized prostate cancer is one of the most controversial subjects in the field of urologic oncology. Because of the lack of randomized trials, it is difficult, if not impossible, to compare two modalities used for treating an identical patient. Therefore, we will approach this debate more as an intellectual exercise, focusing on key outcome parameters. This exercise i...