REVIEW   Free

Minerva Urologica e Nefrologica 2019 October;71(5):487-501

DOI: 10.23736/S0393-2249.19.03365-4

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Precision prostate cancer surgery: an overview of new technologies and techniques

Enrico CHECCUCCI ¹ ✉, Daniele AMPARORE ¹, Stefano DE LUCA ¹, Riccardo AUTORINO ², Cristian FIORI ¹, Francesco PORPIGLIA ¹

¹ Department of Urology, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy; ² Division of Urology, VCU Health, Richmond, VA, USA

Over the past few years several new technologies have become available for the management of PCa. The implementation of robotic surgery allowed an unprecedented refinement of surgical techniques, and the RARP procedure is constantly evolving. Nowadays research is mainly focused towards a “tailored” case-specific surgical approach that might allow to achieve PCa control while preserving urinary continence and erectile function. Therefore, in contemporary urology era, several new tools have been introduced to optimize surgical planning, to aid surgical navigation, and to refine surgical execution. In this non-systematic review emerges that a better imaging technique in the preoperative setting can facilitate surgical planning. Moreover, in the intraoperative setting, new tools for image-guided surgical navigation are promising and will allow real time understanding of surgical anatomy. In the next future, a more personalized approach for the minimally invasive surgical treatment of PCa will be available, and the achievement of the best oncological and functional outcomes will be obtained.

KEY WORDS: Prostatic neoplasms; Surgery, computer-assisted; Molecular imaging