Robotic-assisted surgery for the treatment of urologic cancers: recent advances
- 2 June 2020
- journal article
- review article
- Published by Taylor & Francis Ltd in Expert Review of Medical Devices
- Vol. 17 (6), 579-590
- https://doi.org/10.1080/17434440.2020.1762487
Abstract
Introduction: As the medical field is moving toward personalized and tailored approaches, we entered the era of precision surgery for the management of genitourinary cancers1. This is facilitated by the implementation of new technologies, among which robotic surgery stands out for the significant impact in the surgical field over the last two decades. Areas covered: This article reviews the latest evidence on robotic surgery for the treatment of urologic cancers, including prostate, kidney, bladder, testis, and penile cancer. Functional and oncologic outcomes, new surgical techniques, new imaging modalities, and new robotic platforms are discussed. Expert opinion: Robotic surgery had a growing role in the management of genitourinary cancers over the past 10 years. Despite a lack of high-quality evidence comparing the effectiveness of robotic to open surgery, the robotic approach allowed a larger adoption of a minimally invasive surgical approach, translating into lower surgical morbidity and shorter hospital stay. New robotic platforms might allow to explore novel surgical approaches, and new technologies might facilitate surgical navigation and intraoperative identification of anatomical structures, allowing a more tailored and precise surgery. It is an exciting time for robotic surgery, and upcoming technological advances will offer better outcomes to urologic cancer patients.This publication has 105 references indexed in Scilit:
- Oncologic Outcomes at 10 Years Following Robotic Radical ProstatectomyEuropean Urology, 2015
- Contemporary Role of Salvage Lymphadenectomy in Patients with Recurrence Following Radical ProstatectomyEuropean Urology, 2015
- Beyond the Learning Curve of the Retzius-sparing Approach for Robot-assisted Laparoscopic Radical Prostatectomy: Oncologic and Functional Results of the First 200 Patients with ≥1 Year of Follow-upEuropean Urology, 2013
- Robotic-assisted Nephroureterectomy and Bladder Cuff Excision Without Intraoperative RepositioningUrology, 2011
- A New Anatomic Approach for Robot-Assisted Laparoscopic Prostatectomy: A Feasibility Study for Completely Intrafascial SurgeryEuropean Urology, 2010
- Nephrectomy Induced Chronic Renal Insufficiency is Associated With Increased Risk of Cardiovascular Death and Death From Any Cause in Patients With Localized cT1b Renal MassesJournal of Urology, 2010
- Radical Nephrectomy for pT1a Renal Masses May be Associated With Decreased Overall Survival Compared With Partial NephrectomyJournal of Urology, 2008
- Prognostic factors in squamous cell carcinoma of the penisNature Reviews Endocrinology, 2007
- Nerve‐sparing robot‐assisted radical cystoprostatectomy and urinary diversionBJU International, 2003
- Complications of groin dissection in penile cancer Experience with 101 lymphadenectomiesUrology, 1984