ISSN: 1305-3876
Hakkında: Özel sayılar şeklinde yayınlanır.
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Robotic Surgery In Urology
Dr. Haluk AKPINAR,a Dr. Ali Rıza KURALb
aÜroloji AD, Bilim Üniversitesi Avrupa Florence Nightingale Hastanesi Araştırma ve Uygulama Merkezi,bÜroloji AD, İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, İSTANBUL
Urology has always been quick to embrace new technology. The benefits of ureteroscopy, lasers and shock wave lithotripsy were readily recognized, and these tools are now an integral part of a modern urology practice. Robotic technology has the potential to expand surgical capabilities and improve clinical outcomes. Urology is taking an active part in developing and evaluating robotic technology.
First laparoscopic radical prostatectomy (LRP) and then robot assisted laparoscopic radical prostatectomy (RALP) have been introduced as a less invasive surgical approach in the new millennium. The learning curve is shorter than LRP and one can directly start RALP without any laparoscopy experience. As a result of this, many urologists have been started robotic program in the USA. In 2005 20% of the radical prostatectomies were robotic and in 2006 this rate is projected to be 41%. Oncological results with RALP seem to be equivalent to open and LRP series. Continence rates are similar to other series but obtained earlier. Potency rates are promising especially with NVB sparing technique. Development in robotic technology, robot assisted methods for laparoscopic urologic operations, complications, results, learning curve, financial aspects will be discussed in this chapter.Keywords: Urology, laparoscopy, roboticTurkiye Klinikleri J Surg Med Sci 2007, 3(4):103-108
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