TECHNICAL CHARACTERISTICS OF NERVE-SPARING ROBOT-ASSISTED RADICAL PROSTATECTOMY


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Abstract

One of the main tasks of nerve-sparing robot-assisted radical prostatectomy is the maximum preservation of the neurovascular bundle. Due to innovative technology using three-dimensional visualization, «DaVinci» robotic system has the effect of «presence» within the surgical field; and due to multiple zooming, this system allows to perform precise and ultraprecise tissue dissection. A clear differentiation of organs and tissues allows to to reduce the risk of positive surgical margins, and development of urinary incontinence, as well as significantly increase the chance of preserving erectile function postoperatively. Functional and oncologic outcomes of treatment depend on a careful examination of the anatomy of the prostate gland and pelvic organs, knowledge of which is directly connected with the improvement of methods of performing nerve-sparing robot-assisted radical prostatectomy.

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About the authors

A. O Vasiliev

SBEI HPE MSMSU n.a. A.I. Evdokimov of RMPH

Email: alexvasilyev@me.com
Senior Assistant at the Department of Urology

A. Y Govorov

SBEI HPE MSMSU n.a. A.I. Evdokimov of RMPH

Department of Urology

V. V Dyakov

SBEI HPE MSMSU n.a. A.I. Evdokimov of RMPH

Department of Urology

P. L Rasner

SBEI HPE MSMSU n.a. A.I. Evdokimov of RMPH

Department of Urology

K. B Kolontarev

SBEI HPE MSMSU n.a. A.I. Evdokimov of RMPH

Department of Urology

E. G Maltsev

SBEI HPE MSMSU n.a. A.I. Evdokimov of RMPH

Department of Urology

D. Yu Pushkar

SBEI HPE MSMSU n.a. A.I. Evdokimov of RMPH

Department of Urology

References

  1. Walsh Р.С., Donker PJ. Impotence following radical prostatectomy: Insight Into etiology and prevention. 1982. J. Urol. 2002;167(2 Pt 2) :1005-ю.
  2. Secin F.P., Bianco FJ. Surgical anatomy of radical prostatectomy.periprostatic fascial anatomy and overview of urinary sphincters. Arch. Esp. Urol. 2010;64(4):255-66.
  3. Stolzenburg J.U., Kallidonis P., Do M., Dietel A., Hafner Т, Rabenalt R., Sakellaropoulos G., Ganzer R., Paasch U., Horn L.C., Liatsikos E. A comparison of outcomes for interfascial and intra fascial nerve-sparing radical prostatectomy. Urology. 2010;76:743-48.
  4. Hollenbeck B.K., Dunn R.L., Wei J.T., Montie J.E., Sanda M.G. Determinants of long-term sexual health outcome after radical prostatectomy measured by a validated instrument. J. Urol. 2003;169(4):1453-57.
  5. http://uroweb.org/wp-content/uploads/EAU- G uidelines-Prostate-Cancer-2015-v2.pdf
  6. Makarov D.V., Trock B.J., Humphreys E.B., Mangold LA., Walsh P.C., Epstein J.I., Partin A.W. Updated nomogram to predict pathologic stage of prostate cancer given prostate-specific antigen level, clinical stage, and biopsy Gleason score (Partin tables) based on cases from 2000 to 2005. Urology. 2007;69(6):1095-101.
  7. Panebianco V., Salciccia S., Cattarino S., Miniso- la F., Gentilucci A., Alfarone A., Ricciuti G.P., MarcantonioA., LisiD., Gentile V., Passariello R., Sciarra A. Use of multiparametric MR with neurovascular bundle evaluation to optimize the oncological and functional management of patients considered for nerve- sparing radical prostatectomy. J. Sex. Med. 2012;9(8): 2157-66.
  8. Eichelberg C., Erbersdobler A., Haese A., Schlomm T., Chun F.K., Currlin E., Walz J., Steuber T., Graefen M., Huland H. Frozen section for the management of intraoperatively detected palpable tumor lesions during nerve- sparing scheduled radical prostatectomy. Eur. Urol. 2006;49(6): 1011-16; discus. 1016-18.
  9. Моисеенко T.H., Говоров A.B., Прокопович M.A., Пушкарь Д.Ю. Анатомические аспекты радикальной робот-ассистированной нервосберегающей простатэктомии. Онкоурология. 2013;2:10-16
  10. Takenaka A., Tewari A.K., Leung R.A., Bigelow К., El-Tabey N., Murakami G., Fujisawa M. Preservation of the puboprostatic collar and puboperineoplasty for early recovery of urinary continence after robotic prostatectomy: anatomic basis and preliminary outcomes. Eur. Urol. 2007;51:433-40.
  11. TakenakaA., Leung R.A., Fujisawa M., TewariA.K. Anatomy of autonomic nerve component in the male pelvis: the new concept from a perspective for robotic nerve sparing radical prostatectomy. World. J. Urol. 2006; 24:136-43.
  12. Tewari A., Rao S., Martinez-Salamanca J.I., Leung R., Ramanathan R., Mandhani A., Vaughan E.D., Menon M., Horninger W., Tu J., Bartsch G. Cancer control and the preservation of neurovascular tissue: how to meet competing goals during robotic radical prostatectomy. BJU Int. 2008;101:1013-18.
  13. Kowalczyk K.J., Huang A.C., Hevelone N.D., Lipsitz S.R., Yu H.Y., Ulmer W.D., Kaplan J.R., PatelS., Nguyen P.L., HuJ.C. Stepwise approach for nerve sparing without countertraction during robot-assisted radical prostatectomy: technigue and outcomes. Eur. Urol. 2011; 6:536-47.
  14. Takenaka A., Tewari A.K. Anatomical basis for carrying out a state-of-the-art radical prostatectomy. Int. J. Urol. 2012;11:7-19.
  15. Rahman /., Said D.G., Maharajan V.S., Dua H.S. Amniotic membrane in ophthalmology: indications and limitations. Eye. 2009; 10(23):1954-61.
  16. Baradaran-Rafii A., Aghayan H., Arjmand B., Javadi M. Amniotic Membrane Transplantation. Iran. J. Ophthalmic. Res. 2007;1 (2У.58-75.
  17. Колонтарев К.Б. Робот-ассистированная радикальная простатэктомия. Дисс. докт. мед. наук. Москва, 2015. 306 с.
  18. Padma-Nathan Н., McCullough A.R., Levine L.A., Lipshultz L.I., Siegel R., Montorsi F., Giuliano F., Brock G. Randomized, double-blind, place- bo-controlled study of postoperative nightly sildenafil citrate for the prevention of erectile dysfunction after bilateral nerve-sparing radical prostatectomy. Int. J. Impot. Res. 2008;20(5):479-86.
  19. Montorsi F., Brock G.,Stolzenburg J. U., Mulhall J., Moncada I., Patel H.R., Chevallier D., Krajka K, Henneges C., Dickson R., Biittner H. Effects of tadalafil treatment on erectile function recovery following bilateral nerve-sparing radical prostatectomy: a randomised placebo-controlled study (REACTT). Eur. Urol. 2014;65(3):587-96.
  20. Nakano Y., Miyake H., Chiba K., Fujisawa M. Impact of penile rehabilitation with low- dose vardenafil on recovery of erectile function in Japanese men following nerve-sparing radical prostatectomy. Asian J. Androl. 2014;16(6):892-96.
  21. Agarwal G., Valderrama 0., Luchey A.M., Pow-Sang J.M. Robotic-Assisted Laparoscopic Radical Prostatectomy. Cancer Control. 2015;22(3):283-90.
  22. Ғісагга V., Novara G., Rosen R.C. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot- assisted radical prostatectomy. Eur. Urol. 2012;62(3):405-17.
  23. Goldstein /., Payton T.R., Schechter P.J. A doubleblind, placebo-controlled, efficacy and safety study of topical gel formulation of 1 % alprostadil (Topiglan) for the in-office treatment of erectile dysfunction. Urology. 2001 ;57(2):301 -5.

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