Aktuelle Urol 2019; 50(05): 486-490
DOI: 10.1055/a-0898-3291
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Die radikale Prostatektomie im Wandel der Zeit

Radical prostatectomy through the years
Andres Jan Schrader
1   Universitätsklinikum Münster, Klinik für Urologie und Kinderurologie, Münster
,
Johannes Müller
2   Urologisches Zentrum Göppingen, Göppingen
,
Martin Janssen
1   Universitätsklinikum Münster, Klinik für Urologie und Kinderurologie, Münster
,
Laura-Maria Krabbe
1   Universitätsklinikum Münster, Klinik für Urologie und Kinderurologie, Münster
› Author Affiliations
Further Information

Publication History

Publication Date:
29 May 2019 (online)

Zusammenfassung

Die Durchführung der radikalen Prostatektomie hat sich in den letzten 200 Jahren deutlich verändert; gerade in den letzten 50 Jahren entwickelte sich die Technik deutlich weiter. Als Meilensteine dürfen zum einen die Arbeiten von Walsh in den späten 70er und frühen 80er Jahren angesehen werden, welche zu einer signifikanten Reduktion der Morbidität des Eingriffes führten, zum anderen die Einführung (Roboter-assistierter) minimal-invasiver Operationstechniken. Den absoluten Goldstandard bzgl. des Zuganges gibt es bis heute nicht. Innovative Ansätze, z. B. die Zuhilfenahme der sog. „augmented reality“ werden aktuell bzgl. ihres Potentials evaluiert. Dieser Übersichtsartikel in der Jubiläumsausgabe des Urologen beschäftigt sich mit den Meilensteinen der Entwicklung dieses für die Urologie wichtigen Eingriffs.

Abstract

The operative aspect of radical prostatectomy has changed dramatically in the past 200 years as significant technological advances have been made, particularly during the past 50 years. The work of Dr. Walsh in the late 1970 s and early 1980 s led to a significant reduction in surgical morbidity and is considered an important milestone of radical prostatectomy, as is the introduction of minimally-invasive (robotic-assisted) surgical techniques. Yet there is no absolute gold standard regarding surgical approaches. Innovative tools, e. g. the addition of „augmented reality“, are currently under investigation. This review article for the anniversary issue of „Der Urologe“ aims to cover the milestones of the evolution of this „signature“ surgery in the field of urology.

 
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