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Different approaches to the prostate: The upcoming role of a purpose-built single-port robotic system.

Authors :
Kaouk, Jihad
Garisto, Juan
Bertolo, Riccardo
Source :
Arab Journal of Urology; Sep2018, Vol. 16 Issue 3, p302-306, 5p
Publication Year :
2018

Abstract

With the aim of minimising the patient’s postoperative pain, expediting recovery and improving cosmesis, the idea of performing a laparoscopic procedure through a single abdominal incision was introduced. In the present report, we describe five different access routes to the prostate that may be at the surgeon’s disposal with the potential of decreasing patient’s perioperative morbidity. Robotic radical prostatectomy has been refined and became a standard of care in surgery for localised prostate cancer. The advent of single-port robotic surgery has prompted the re-discovery of different access routes to the prostate and ideally all of them are feasible. The potential for avoiding the abdominal cavity will decrease the surgical morbidity and minimise the surgical dissection. In the near future, each of the described approaches could be chosen on the basis of the patient’s preoperative comorbidities, body habitus, anatomy, and disease characteristics and location. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
2090598X
Volume :
16
Issue :
3
Database :
Supplemental Index
Journal :
Arab Journal of Urology
Publication Type :
Academic Journal
Accession number :
131355298
Full Text :
https://doi.org/10.1016/j.aju.2018.04.003