腫瘍外科アーカイブ

The Present Condition of Robot−Assisted Radical Prostatectomy

Abstract

Carlo Bravi*

Organ-confined adenocarcinoma of the prostate can only be treated with radical prostatectomy if it is to be free of disease for the rest of the patient's life. Understanding the remarkable anatomic variability of the prostate apex and the striated urethral sphincter's cylindrical shape is the only way to successfully perform the procedure. When surgical methods that preserve (i) neurovascular structures are used, they take into account variations at the apex. ii) the urethra with sphincter; and (iii) the adjacent levator ani, patients can anticipate a cure and the swift restoration of erectile function and urinary control.