Journal of Clinical & Experimental OncologyISSN: 2324-9110

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Short Communication, J Clin Exp Oncol Vol: 12 Issue: 2

Precision in Prostatectomy: Methods, Outcomes and Clinical Significance

Albert Saini*

Department of Radiation Oncology, University of Toronto, Ontario, Canada

*Corresponding Author: Albert Saini
Department of Radiation Oncology University of Toronto, Ontario, Canada
E-mail: albert_saini@ut22.ca

Received date: 22 March, 2023, Manuscript No. JCEOG-23-99342;
Editor assigned date: 24 March, 2023, PreQC No. JCEOG-23-99342 (PQ);
Reviewed date: 07 April, 2023, QC No. JCEOG-23-99342;
Revised date: 14 April, 2023, Manuscript No. JCEOG-23-99342 (R);
Published date: 21 April, 2023, DOI: 10.4172/2324-9110.1000347.

Citation: Saini A (2023) Precision in Prostatectomy:Methods, Outcomes and Clinical Significance. J Clin Exp Oncol 12:2.

Description

Prostate cancer is a prevalent malignancy among men, and surgical intervention in the form of prostatectomy plays an important role in its management. The precision and advancements in prostatectomy techniques have revolutionized the field, enabling improved outcomes and enhancing the quality of life for patients. Understanding the nuances of these approaches can help healthcare professionals make informed decisions and provide personalised care to patients [1]. Different methods are employed in prostatectomy. Prostatectomy involves the surgical removal of the prostate gland and, in some cases, surrounding tissues. Various methods are utilised based on factors such as tumour size, stage, and patient characteristics. Three primary approaches to prostatectomy are commonly employed [2]. The first method is open prostatectomy it is the traditional surgical approach, which involves a large incision in the lower abdomen to access and remove the prostate gland. Although less commonly used today, open prostatectomy is still employed in certain complex cases.

The second method is Laparoscopic prostatectomy, which involves laparoscopic techniques that use several small incisions through which a camera and surgical instruments are inserted. This approach provides enhanced visualisation and precision, allowing surgeons to perform the procedure with greater accuracy [3]. Another method is Robotic- Assisted Prostatectomy, in which robotic systems, such as the da Vinci Surgical System, enable surgeons to perform prostatectomy with enhanced precision, dexterity, and visualization [4]. The robotic arms translate the surgeon's movements into precise actions, allowing for delicate manoeuvres in tight spaces. Precision in prostatectomy techniques has led to several notable outcomes and benefits for patients undergoing surgery. Prostatectomy aims to remove the cancerous prostate gland and surrounding tissues. When performed accurately, it can effectively eliminate or reduce the presence of cancer cells, providing potential long-term cancer control and improved survival rates. Preservation of urinary continence is a significant consideration in prostatectomy [5,6]. Precision techniques allow surgeons to spare the surrounding structures responsible for urinary control, minimising the risk of post-operative urinary incontinence.

Nerve-sparing techniques in prostatectomy aim to preserve the nerves responsible for erectile function [7]. Patients have a better chance of maintaining reproduction after surgery if these nerves are carefully identified and spared. Precision prostatectomy methods contribute to enhanced post-operative quality of life. Minimally invasive approaches result in smaller incisions, reduced blood loss, shorter hospital stays, and faster recovery times, allowing patients to resume their daily activities more quickly [8,9]. The effects of precision prostatectomy extend beyond physical outcomes. Addressing the cancer with precision surgery can provide patients with a sense of relief and empowerment. Knowing that the tumour has been meticulously removed and the risk of cancer progression has been reduced can alleviate anxiety and contribute to improved psychological well-being [10].

The clinical significance of precision in prostatectomy lies in its ability to tailor treatment to individual patients. By selecting the most appropriate surgical method and employing precise techniques, healthcare professionals can optimise outcomes and minimise the risk of complications [11]. Precision surgery allows for personalised treatment, taking into account factors such as tumour size, location, and patient characteristics, thus improving the overall success of prostate cancer management.

Conclusion

Precision in prostatectomy methods has transformed the landscape of prostate cancer treatment. The evolution from open surgery to minimally invasive and robotic-assisted techniques has paved the way for improved outcomes, including better cancer control, urinary continence, reproductive function preservation, and overall quality of life for patients. The continued advancement of surgical approaches and technologies holds possibility for further enhancing precision in prostatectomy, ensuring that patients receive optimal care tailored to their specific circumstances. By embracing precision surgery, healthcare professionals can continue to make significant strides in prostate cancer management.

References

  1. Liu S, Hemal (2020) Techniques of robotic radical prostatectomy for the management of prostate cancer: which one, when and why. Transl Androl Uro 9(2):906.

    [Crossref][Google Scholar][PubMed]

  2. Sood A, Jeong W, Palma-Zamora I, Abdollah F, Butaney M (2022) et al. Description of surgical technique and oncologic and functional outcomes of the precision prostatectomy procedure. Eur Urol 81(4):396-406.

    [Crossref][Google Scholar][PubMed]

  3. Sood A, Abdollah F, Jeong W, Menon M (2020) et al. The precision prostatectomy:“waiting for Godot”. Eur Urol Focus 15;6(2):227-30.

    [Crossref][Google Scholar][PubMed]

  4. Box GN, Ahlering TE (2008) Robotic radical prostatectomy: long-term outcomes. Curr Opin Urol. 18(2):173-179.

    [Crossref][Google Scholar][PubMed]

  5. Grauer R, Gorin MA, Sood A, Butaney M, Olson P (2022) Impact of prostate biopsy technique on outcomes of the precision prostatectomy procedure. BMJ 4(1)

    [Crossref][Google Scholar][PubMed]

  6. Menon M, Shrivastava A, Kaul S, Badani KK, Fumo M et al. (2007) Vattikuti Institute prostatectomy: contemporary technique and analysis of results. Eur Urol 51(3):648-58.

    [Crossref][Google Scholar][PubMed]

  7. Holzbeierlein J, Peterson M, Smith Jr Ja (2001) Variability of results of cavernous nerve stimulation during radical prostatectomy. J Urol 165(1):108-10.

    [Crossref][Google Scholar][PubMed]

  8. Bentas W, Wolfram M, Jones J, Bräutigam R, Kramer et al. (2003) Robotic technology and the translation of open radical prostatectomy to laparoscopy: the early Frankfurt experience with robotic radical prostatectomy and one year follow-up. Eur Urol 44(2):175-81.

    [Crossref][Google Scholar][PubMed]

  9. Wiltshire KL, Brock KK, Haider MA, Zwahlen D, Kong V et al. (2007) Anatomic boundaries of the clinical target volume (prostate bed) after radical prostatectomy. Int. J. Radiat. Oncol. Biol. Phys 69(4):1090-9.

    [Crossref][Google Scholar][PubMed]

  10. Pasticier G, Rietbergen JB, Guillonneau B, Fromont G, Menon M et al. (2001) Robotically assisted laparoscopic radical prostatectomy: feasibility study in men. Eur Urol 40(1):70-4.

    [Crossref][Google Scholar][PubMed]

  11. Cheetham PJ, Truesdale MD, Lee DJ, Landman JM, Badani KK (2010) Use of a flexible carbon dioxide laser fiber for precise dissection of the neurovascular bundle during robot-assisted laparoscopic prostatectomy. J Endourol 24(7):1091-6.

    [Crossref][Google Scholar][PubMed]

international publisher, scitechnol, subscription journals, subscription, international, publisher, science

Track Your Manuscript

Awards Nomination

Recommended Conferences

International Conference on Clinical Nephrology

Las Vegas, USA

Media Partners