Precision surgery and genitourinary cancers
R Autorino1, F Porpiglia2, P Dasgupta3
1Urology Institute, University Hospitals, Case Western Reserve University, Cleveland, OH, USA.
Abstract:
The landscape of the surgical management of urologic malignancies has dramatically changed over the past 20 years. On one side, better diagnostic and prognostic tools allowed better patient selection and more reliable surgical planning. On the other hand, the implementation of minimally invasive techniques and technologies, such as robot-assisted laparoscopy surgery and image-guided surgery, allowed minimizing surgical morbidity. Ultimately, these advances have translated into a more tailored approach to the management of urologic cancer patients. Following the paradigm of "precision medicine", contemporary urologic surgery has entered a technology-driven era of "precision surgery", which entails a range of surgical procedures tailored to combine maximal treatment efficacy with minimal impact on patient function and health related quality of life. Aim of this non-systematic review is to provide a critical analysis of the most recent advances in the field of surgical uro-oncology, and to define the current and future role of "precision surgery" in the management of genitourinary cancers.
Insights
Surgical uro-oncology has advanced with better diagnostics and minimally invasive techniques, leading to "precision surgery." This approach tailors treatments for urologic cancers, maximizing efficacy while minimizing patient impact.
Area of Science:
- Urologic oncology
- Surgical innovation
Background:
- The surgical management of urologic malignancies has evolved significantly over the past two decades.
- Improved diagnostic and prognostic tools enhance patient selection and surgical planning.
- Minimally invasive techniques, including robot-assisted laparoscopy and image-guided surgery, have reduced surgical morbidity.
Purpose of the Study:
- To critically analyze recent advancements in surgical uro-oncology.
- To define the current and future role of "precision surgery" in managing genitourinary cancers.
Main Methods:
- Non-systematic review of the literature.
- Analysis of technological and methodological advancements in surgical uro-oncology.
Main Results:
- Advances have enabled a more tailored approach to urologic cancer patient management.
- The field has transitioned to a technology-driven era of "precision surgery."
- "Precision surgery" aims to maximize treatment efficacy and preserve patient function and quality of life.
Conclusions:
- Contemporary urologic surgery embraces "precision surgery" principles.
- This paradigm shift integrates advanced technologies for optimized patient outcomes in genitourinary cancer care.
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