The progress of dorsal vascular complex control strategy in radical prostatectomy.

Journal: The Journal of international medical research
PMID:

Abstract

Radical prostatectomy has undergone a development from open to laparoscopic surgery to a surgical robotic approach. With improved surgical equipment and the continuous development of surgical techniques, various surgical strategies for controlling the dorsal vascular complex (DVC) during RP have been investigated, which affect intraoperative blood loss, postoperative tumour control and postoperative urinary and sexual function. The present narrative review summarizes the latest anatomical information about the prostatic apex and DVC and then describes the three types of DVC control. More detailed anatomy of the DVC is required and the optimal DVC control under different situations needs further research.

Authors

  • Yinhuai Wang
    1 Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
  • Xu Cheng
    Applied Mechanics Laboratory, Department of Engineering Mechanics, Tsinghua University, Beijing  100084, China.
  • Qi Xiong
    Department of Urology, The Second Affiliated Hospital, Hunan University of Chinese Medicine, Changsha, Hunan Province, China.
  • Shunhua Cheng
    Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.