Erschienen in:
25.07.2016 | Letter to the Editor
Salvage robotic prostatectomy and high risk disease: what else can we do?
verfasst von:
S. S. Goonewardene, D. Cahill
Erschienen in:
Journal of Robotic Surgery
|
Ausgabe 1/2018
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Excerpt
Salvage robotic radical prostatectomy (SRALP) is known for managing more high risk disease. This is a treatment option for biochemical recurrence in prostate cancer [
1]. Failure of non-surgical primary treatment for localized disease has rates ranging from 20 to 60 % [
2]. This is an uncommonly performed procedure, due to the technical challenges involved [
1]. SRALP is associated with high complication rates for rectal injury, urinary leak anastomotic stricture and incontinence [
3]. This leads to distorted anatomy and difficulty with tissue-planes [
3]. As a result, more extensive dissection is required. This leads to a higher rate of complications. Given the advances within robotics, this next question should robotic surgery be considered for high risk prostate cancer and what are the technical tips? …