Yusuf İlker ÇÖMEZ, Doğukan SÖKMEN, Volkan TUĞCU

Dünden Bugüne Radikal Perineal Prostatektomi: Açık, Perineoskopik, Robotik

Amaç: Radikal perineal prostatektomi ameliyatının başlangıcından günümüze modern cerrahi ekipmanlar ile değişimine gözden geçirmeyi amaçladık. Metod: Radikal Perineal Prostatektomi için cerrahi teknikler ile ilgili özgün makaleler Pubmed ile taranarak, yeni cerrahi platformlar eşliğinde tekniğin gelişimi de gözden geçirildi. Sonuçlar: Lokalize prostat kanserindeki cerrahi tedavilerin en eskilerinden olan RPP ameliyatı, retropubik yöntemin tercih edilmesiyle popülerliğini yitirmiştir. Robotik cerrahinin perineal prostatektomi için kullanılmaya başlaması ile tekrar bu yönteme ilginin arttığı gözlenmiştir. Karar: Özellikle robotik cerrahinin gelişmesi ile radikal perineal prostatektomi ameliyatına kaybolan ilgi tekrar artmaya başlamıştır. Lokalize prostat kanserinde perineal yaklaşımın yaygınlaşabilmesi ve ilerlemesi için randomize kontrollü çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

Perineal prostatektomi, prostat kanseri, robotik, lokalize

Perineal Prostatectomy: From Past to Today: Open, Perineoscopic, Robotic

Purpose: We aimed to review radical perineal prostatectomy from past to the latest developments with new surgical platforms in terms of surgical technique. Method: A Pubmed research was done for surgical techniques of Radical Perineal Prostatectomy and the evolution with new surgical platforms. Results: Radical perineal prostatectomy (RPP) was the first technique defined for localised prostate cancer (Pca) but was replaced by Retropubic radical prostatectomy (RRP) within years. RPP technique has gaining attention by using Robotic platforms in this era. Conclusion: Radical perineal prostatectomy surgery has an increase in popularity via development of robotic surgery. Randomised controlled trials are needed to become widespread and go ahead.

Keywords:

Perineal Prostatectomy, prostat cancer, robotic, localised,

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