Robotic-Assisted Radical Prostatectomy after the First Decade: Surgical Evolution or New Paradigm

Abstract

Early studies indicate that robotic-assisted radical prostatectomy (RARP) has promising short-term outcomes; however, RARP is beyond its infancy, and the long-term report cards are now beginning. The important paradigm shift introduced by RARP is the reevaluation of the entire open radical prostatectomy experience in surgical technique by minimizing blood loss and complications, maximizing cancer free outcomes, and a renewed assault in preserving quality of life outcomes by many novel mechanisms. RARP provides a new technical “canvas” for surgical masters to create upon, and in ten years, has reinvigorated a 100-year-old “gold standard” surgery.

Is rhabdomyolysis an anaesthetic complication in patients undergoing robot-assisted radical prostatectomy?

“…Positioning injuries in the perioperative period are one of the inherent risks of surgery, particularly in robot-assisted urologic surgery and often result in unrecognised morbidity. [10]…”

Comparative investigation on clinical outcomes of robot‐assisted radical prostatectomy between experienced open prostatic surgeons and novice open surgeons in a laparoscopically naïve center with a limited caseload

“…1 Robotic-assisted technology has generated much enthusiasm among urologists, particularly novice or non-laparoscopically trained surgeons who can now transition to minimally invasive treatments. 2 One concern, however, is the large number of young surgeons who have learned operation procedures and gained anatomical knowledge from well-edited video records, but have little or no ORP or LRP experience. 2 Ahlering et al reported that a laparoscopically naïve yet experienced open surgeon using a robotic interface successfully transferred open surgical skills to a laparoscopic environment within 8-12 cases, suggesting that limited LRP skills do not prevent the use of robotic technology if surgeons have extensive ORP skills.…”

Anesthetic management of robot-assisted radical prostatectomy

“…ра-дикальных простатэктомий, что составило 80% все-го объема операций при заболеваниях железы, в 2011 г. эти показатели достигли соответственно 100 тыс. и 95% [26,29,34].…”

“…ра-дикальных простатэктомий, что составило 80% все-го объема операций при заболеваниях железы, в 2011 г. эти показатели достигли соответственно 100 тыс. и 95% [26,29,34].В Российской Федерации на текущий момент установлен 21 хирургический эндоскопический комплекс da Vinci. Наибольшим опытом выполне-ния роботических вмешательств в России обладает коллектив клиники урологии МГМСУ.…”