Die operative Therapie des Prostatakarzinoms im Wandel – Vergleich zwischen offener und laparoskopisch–roboterassistierter radikaler Prostatektomie

Autor: Bastian Amend, David Schilling, Hubert John, Severine Huber, Arnulf Stenzl
Rok vydání: 2009
Předmět:
Zdroj: Der Klinikarzt. 38:392-398
ISSN: 1439-3859
0341-2350
DOI: 10.1055/s-0029-1242043
Popis: For nearly ten years now, robotic-assisted laparoscopic prostatectomy has been offered besides open and laparoscopic radical prostatectomy. Apart from the general advantages of minimally invasive procedures such as low tissue trauma, little blood loss and shorter hospital stay, the operation system offers the surgeon the advantages of 3-dimensional view on the operating area and any degrees of freedom of the human wrist joint for the intra-corporally placed instruments. Opposed to these advantages are the lack of tactile feedback to the surgeon, rather longer operating times and high treatment costs. In the few comparative studies no differences with regard to intermediate-term functional and oncological results could be found yet. The aim of this paper is to explain the robotic-assisted surgical technique to the reader and to comment on the differences to open surgery on the basis of the available studies.
Databáze: OpenAIRE