前列腺癌机器人辅助手术的现状与展望

Robotic-assisted Laparoscopic Radical Prostatectomy: Current Situation and Perspectives

根治性前列腺切除术是局限性前列腺癌的主要治疗方法。手术后早期肿瘤控制效果、术后尿控和勃起功能恢复三个方面是该手术面临的重要问题。关于前列腺癌根治性手术发展有3个关键节点,包括1982年Walsh PC首次提出解剖性根治性前列腺切除术;1992年Schuessler等完成首例腹腔镜下根治性前列腺切除术以及2001年Binder和Kramer首次报道机器人辅助腹腔镜根治性前列腺切除术。本文详细介绍了前列腺癌治疗采用机器人辅助手术的应用现状、进展及发展前景。

Radical prostatectomy is the main treatment for localised prostate cancer. This operation involves three major concerns： post-prostatectomy oncology outcome, urinary incontinence and sexual impotence. There are three key time points in the development of radical prostatectomy, including initial propose of anatomic radical prostatectomy by Walsh PC in 1982, first completion of laparoscopic radical prostatectomy by Schuessler et al in 1992, and first report of robotic-assisted laparoscopic radical prostatectomy （RALP） by Binder and Kramer in 2001. To introduce the current situation, advancement and perspectives of applying robotic-assisted lanaroscopv in treating prostate cancer.