[Robot-assisted radical prostatectomy. Functional result. Part I. (in Russian only)]

Area of Science:

• Urology
• Surgical Oncology
• Robotic Surgery

Background:

• Robot-assisted surgery is increasingly recognized as a 'gold standard' in various surgical fields.
• Robot-assisted radical prostatectomy is the most prevalent robotic procedure, particularly for prostate cancer treatment.

Purpose of the Study:

• To review the advancements in understanding pelvic anatomy for robotic surgery.
• To discuss nerve-sparing techniques in robot-assisted radical prostatectomy.
• To present functional outcomes of nerve-sparing robot-assisted radical prostatectomy.

Main Methods:

• Review of current literature on pelvic anatomy and robotic surgical approaches.
• Description of nerve-sparing techniques for preserving neurovascular structures.
• Analysis of functional results from nerve-sparing robot-assisted radical prostatectomy.

Main Results:

• Improved functional outcomes in robot-assisted radical prostatectomy are linked to a refined understanding of pelvic anatomy.
• Dissection and preservation of the external urethral sphincter and neurovascular bundles are crucial.
• Nerve-sparing techniques contribute to better functional results post-surgery.

Conclusions:

• Robot-assisted radical prostatectomy represents a significant advancement in prostate cancer treatment.
• The preservation of neurovascular structures and the urethral sphincter is key to achieving superior functional outcomes.
• This technique sets a new benchmark for surgical treatment in developed countries.