Recommendations on robotic-assisted radical prostatectomy: a Brazilian experts' consensus

被引:2
|
作者
Faria, Eliney Ferreira [1 ]
Maciel, Carlos Vaz Melo [1 ]
Berger, Andre [2 ]
Mitre, Anuar [3 ]
Dauster, Breno [4 ]
Freitas, Celso Heitor, Jr. [5 ]
Fraga, Clovis [6 ]
Chade, Daher [7 ]
Dall'Oglio, Marcos [3 ]
Carvalho, Francisco [8 ]
Campos, Franz [9 ]
Carvalhal, Gustavo Franco [2 ]
Lemos, Gustavo Caserta [10 ]
Guimaraes, Gustavo [4 ]
Zampolli, Hamilton [11 ]
Alves, Joao Ricardo [12 ]
Manzano, Joao Padua [13 ]
Fortes, Marco Antonio [14 ]
Rocha, Marcos Flavio Holanda [15 ]
Rubinstein, Mauricio [16 ]
Luz, Murilo [10 ]
Romanelli, Pedro [1 ]
Coelho, Rafael [7 ]
Rocha, Raphael [17 ]
Machado, Roberto Dias [18 ]
dos Reis, Rodolfo Borges [19 ]
Zequi, Stenio [20 ]
Guida, Romulo [21 ]
Muglia, Valdair [19 ]
Tobias-Machado, Marcos [22 ]
机构
[1] Hosp Felicio Rocho, Belo Horizonte, MG, Brazil
[2] Hosp Moinhos de Vento, Porto Alegre, RS, Brazil
[3] Univ Sao Paulo, Sao Paulo, SP, Brazil
[4] Hosp Aristides Maltez, Salvador, BA, Brazil
[5] Hosp Benefiencia Portuguesa, Sao Paulo, SP, Brazil
[6] Hosp Real Portugues, Recife, PE, Brazil
[7] Inst Canc Sao Paulo, Sao Paulo, SP, Brazil
[8] Hosp Porto Dias, Belem, PA, Brazil
[9] Inst Nacl Canc, Rio De Janeiro, RJ, Brazil
[10] Hosp Albert Einstein, Sao Paulo, SP, Brazil
[11] Inst Canc Res, Sao Paulo, SP, Brazil
[12] Hosp Base Brasilia, Brasilia, DF, Brazil
[13] Hosp Moriah, Sao Paulo, SP, Brazil
[14] Inst Dor, Rio De Janeiro, RJ, Brazil
[15] Hosp Monte Klinikun, Fortaleza, CE, Brazil
[16] Univ Rio de Janeiro, Rio De Janeiro, RJ, Brazil
[17] Hosp Amer, Rio De Janeiro, RJ, Brazil
[18] Hosp Canc Barretos, Barretos, SP, Brazil
[19] Univ Sao Paulo, Ribeirao Preto, SP, Brazil
[20] AC Camargo, Sao Paulo, SP, Brazil
[21] Hosp Quinta Dor, Rio De Janeiro, RJ, Brazil
[22] Fac Med ABC, Sao Paulo, SP, Brazil
关键词
Robotic-assisted radical prostatectomy; Prostate cancer; Experts; BLADDER NECK PRESERVATION; LYMPH-NODE DISSECTION; URINARY CONTINENCE RECOVERY; RETZIUS-SPARING APPROACH; CANCER PATIENTS; PERIOPERATIVE OUTCOMES; EUROPEAN ASSOCIATION; ONCOLOGIC OUTCOMES; LEARNING-CURVE; PELVIC FLOOR;
D O I
10.1007/s11701-020-01186-0
中图分类号
R61 [外科手术学];
学科分类号
摘要
Radical prostatectomy is a commonly adopted treatment for localized/locally advanced prostate cancer in men with a life expectancy of ten years or more. Robotic-assisted radical prostatectomy (RARP) is comparable to open radical prostatectomy on cancer control and complication rates; however, new evidence suggests that RARP may have better functional outcomes, especially with respect to urinary incontinence and erectile dysfunction. Some of the surgical steps of RARP are not adequately described in published literature and, as such, may have an impact on the final outcomes of the procedure. We organized a Brazilian experts' panel to evaluate best practices in RARP. The confection of the recommendations broadly involved: selection of the experts; establishment of working groups; systematic review of the literature and elaboration of a questionnaire; and construction of the final text with the approval of all participants. The participants reviewed the publications in English from December 2019 to February 2020. A one-round Delphi technique was employed in 188 questions. Five reviewers worked on the final recommendations using consensual and non-consensual questions. We found 59.9% of questions with greater than 70% agreement that were considered consensual. Non-consensual questions were reported according to the responses. The recommendations were based on evidence-based literature and individual perceptions adapted to the Brazilian reality, although some issues remain controversial. We believe that these recommendations may help urologists involved in RARP and hope that future discussions on this surgical procedure may evolve over the ensuing years.
引用
收藏
页码:829 / 839
页数:11
相关论文
共 50 条
  • [31] Transition from open to robotic-assisted radical prostatectomy
    Dasgupta, Prokar
    Patil, Krishna
    Anderson, Chris
    Kirby, Roger
    BJU INTERNATIONAL, 2008, 101 (06) : 667 - 668
  • [32] Clipless Robotic-assisted Radical Prostatectomy and Impact on Outcomes
    Basourakos, Spyridon P.
    Zhu, Alec
    Lewicki, Patrick J.
    Ramaswamy, Ashwin
    Cheng, Emily
    Dudley, Vanessa
    Yu, Miko
    Karir, Beerinder
    Hung, Andrew J.
    Khani, Francesca
    Hu, Jim C.
    EUROPEAN UROLOGY FOCUS, 2022, 8 (05): : 1176 - 1185
  • [33] Robotic-assisted laparoscopic radical prostatectomy - evolution of our
    Murphy, D. G.
    Goel, R.
    Ahlering, T. E.
    Peters, J. S.
    Costello, A. J.
    BJU INTERNATIONAL, 2008, 101 : 43 - 43
  • [34] Preventing Perioperative Complications of Robotic-assisted Radical Prostatectomy
    Liss, Michael A.
    Skarecky, Douglas
    Morales, Blanca
    Osann, Kathryn
    Eichel, Louis
    Ahlering, Thomas E.
    UROLOGY, 2013, 81 (02) : 319 - 323
  • [35] CONSUMERISM AND ITS IMPACT ON ROBOTIC-ASSISTED RADICAL PROSTATECTOMY
    Alkhateeb, Sultan
    Lawrentschuk, Nathan
    JOURNAL OF UROLOGY, 2011, 185 (04): : E586 - E586
  • [36] Transition from open to robotic-assisted radical prostatectomy
    Louie-Johnsun, Mark
    Neill, Mischel
    Cahill, Declan
    BJU INTERNATIONAL, 2008, 102 (08) : 1045 - 1046
  • [37] HUGO™ RAS System in Robotic-Assisted Radical prostatectomy is highligheted in International Brazilian Journal of Urology
    Favorito, Luciano A.
    INTERNATIONAL BRAZ J UROL, 2023, 49 (02): : 172 - 174
  • [38] Open versus robotic-assisted radical prostatectomy: which is better?
    Wilson, Timothy
    Torrey, Robert
    CURRENT OPINION IN UROLOGY, 2011, 21 (03) : 200 - 205
  • [39] An Unusual Finding During Robotic-Assisted Laparoscopic Radical Prostatectomy
    Hostiou, Thomas
    Vergnolles, Marc
    Robert, Gregoire
    Malvy, Denis
    CLINICAL INFECTIOUS DISEASES, 2018, 67 (05) : 802 - 804
  • [40] Anesthetic concerns for robotic-assisted laparoscopic radical prostatectomy: an update
    Hernandez-Meza, Gabriela
    Gainsburg, Daniel M.
    MINERVA ANESTESIOLOGICA, 2023, 89 (09) : 812 - 823