Кривая обучения лапароскопической и робот-ассистированной радикальной простатэктомии

Кривая обучения лапароскопической и робот-ассистированной радикальной простатэктомии

Автор: Рябов Максим Александрович, Бядретдинов И.Ш., Котов С.В.

Журнал: Экспериментальная и клиническая урология @ecuro

Рубрика: Онкоурология

Статья в выпуске: 4 т.14, 2021 года.

Бесплатный доступ

Введение. Рак предстательной железы занимает лидирующие позиции в структуре онкологической заболеваемости и смертности. Радикальная простатэктомия в различных модификациях по-прежнему остается «золотым стандартом» в лечении неметастатических форм данной патологии. Однако, несмотря на большое количество публикаций, в настоящее время отсутствует консенсус относительно стандарта оценки как результатов оперативного лечения, так и продолжительности кривой обучения лапароскопической и робот-ассистированной радикальной простатэктомии. Цель исследования. Провести систематический обзор литературы, посвященной анализу кривой обучения лапароскопической и робот-ассистированной радикальной простатэктомии. Материалы и методы. Выполнен систематический обзор публикаций в базах данных PubMed и e-library, содержащих сведения о кривой обучения радикальной простатэктомии лапароскопическим (ЛРП) и робот-ассистированным доступами (РАРП). Результаты. За 30 летний период отобрано 49 статей: 17 - о ЛРП и 32 - о РАРП. Оценивались такие параметры, как время операции, объем кровопотери, продолжительность стационарного периода, положительный хирургический край и биохимический рецидив, частота осложнений, а также темпы восстановления функции удержания мочи и эрекции. Выводы. По-прежнему нет консенсуса относительно параметров кривой обучения ЛПР и РАРП. Стремление улучшить результаты и сократить время освоения диктует необходимость внедрения тренировочных программ и стандартизации хирургической техники.

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Предстательная железа, лапароскопия, роботическая хирургия, кривая обучения, систематический обзор

Короткий адрес: https://sciup.org/142231529

IDR: 142231529   |   DOI: 10.29188/2222-8543-2021-14-4-37-43

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