{"id":32930,"date":"2026-09-11T18:56:00","date_gmt":"2026-09-11T22:56:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32930"},"modified":"2026-09-12T06:16:00","modified_gmt":"2026-09-12T10:16:00","slug":"prostatectomia-radical","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/prostatectomia-radical\/","title":{"rendered":"Prostatectom\u00eda radical"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[104,105],"class_list":["post-32930","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>\n        La prostatectom\u00eda radical es un procedimiento quir\u00fargico que consiste en la extirpaci\u00f3n completa de la gl\u00e1ndula prost\u00e1tica, las ves\u00edculas seminales y parte del tejido circundante para tratar el c\u00e1ncer de pr\u00f3stata.<sup>1<\/sup> Este procedimiento se realiza principalmente cuando se considera que el c\u00e1ncer est\u00e1 confinado a la gl\u00e1ndula prost\u00e1tica (c\u00e1ncer de pr\u00f3stata localizado).<sup>2<\/sup> La cirug\u00eda tiene como objetivo extirpar todo el tejido canceroso, intentando al mismo tiempo preservar la continencia urinaria y la funci\u00f3n er\u00e9ctil siempre que sea posible mediante t\u00e9cnicas de preservaci\u00f3n nerviosa.<sup>3<\/sup> Existen diversos abordajes quir\u00fargicos para la prostatectom\u00eda radical, incluidas las t\u00e9cnicas abierta retrop\u00fabica, abierta perineal, laparosc\u00f3pica y laparosc\u00f3pica asistida por robot, cada una con ventajas y consideraciones espec\u00edficas.<sup>4<\/sup>\n    <\/p>\n","gt-synonyms":"Prostatectom\u00eda radical retrop\u00fabica (RRP), Prostatectom\u00eda radical perineal, Prostatectom\u00eda radical asistida por robot (RARP), Prostatectom\u00eda rob\u00f3tica, Prostatectom\u00eda radical laparosc\u00f3pica (LRP), Prostatectom\u00eda radical con preservaci\u00f3n nerviosa, Prostatectom\u00eda total","gt-citation":"[1] Lepor H. Radical retropubic prostatectomy. Urol Clin North Am. 2001 Aug;28(3):509-19. DOI: 10.1016\/s0094-0143(05)70159-2\n\n[2] Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, DeWeese TL. Prostate cancer. In: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 81.\n\n[3] Haglind E, Carlsson S, Stranne J, et al. Urinary Incontinence and Erectile Dysfunction After Robotic Versus Open Radical Prostatectomy: A Prospective, Controlled, Nonrandomised Trial. Eur Urol. 2015;68(2):216-225. DOI: 10.1016\/j.eururo.2015.02.029\n\n[4] Su LM, Otto BJ, Costello AJ. Laparoscopic and robotic-assisted laparoscopic radical prostatectomy and pelvic lymphadenectomy. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 156.\n\n[5] Schaeffer EM, Partin AW, Lepor H. Open radical prostatectomy. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 155.","gt-clinical-context":"<p>\n        La prostatectom\u00eda radical est\u00e1 indicada principalmente para el tratamiento del c\u00e1ncer de pr\u00f3stata localizado que no se ha diseminado m\u00e1s all\u00e1 de la gl\u00e1ndula prost\u00e1tica.<sup>1<\/sup> Los criterios de selecci\u00f3n de pacientes incluyen a aquellos con enfermedad cl\u00ednicamente localizada (habitualmente estadio T1 o T2), una esperanza de vida de al menos 10 a\u00f1os y un buen estado general de salud.<sup>2<\/sup> El procedimiento puede utilizarse de forma aislada o en combinaci\u00f3n con radioterapia o terapia hormonal seg\u00fan el estadio del c\u00e1ncer y los factores de riesgo.<sup>3<\/sup>\n    <\/p>\n<p>\n        El procedimiento quir\u00fargico var\u00eda seg\u00fan el abordaje:\n    <\/p>\n<ul>\n<li><strong>Abordaje retrop\u00fabico<\/strong>: El cirujano realiza una incisi\u00f3n en la parte inferior del abdomen desde debajo del ombligo hasta el pubis. Este abordaje permite la visualizaci\u00f3n directa de la pr\u00f3stata y las estructuras circundantes, incluida la posibilidad de realizar una linfadenectom\u00eda p\u00e9lvica si fuera necesario.<sup>4<\/sup><\/li>\n<li><strong>Abordaje perineal<\/strong>: La incisi\u00f3n se realiza entre el escroto y el recto. Este abordaje puede asociarse a una menor p\u00e9rdida hem\u00e1tica, pero dificulta la extirpaci\u00f3n de los ganglios linf\u00e1ticos y conlleva un mayor riesgo de lesi\u00f3n rectal.<sup>5<\/sup><\/li>\n<li><strong>Abordaje laparosc\u00f3pico<\/strong>: Se realizan varias incisiones peque\u00f1as en el abdomen a trav\u00e9s de las cuales se introducen instrumentos especializados y una c\u00e1mara. Esta t\u00e9cnica m\u00ednimamente invasiva suele resultar en una menor p\u00e9rdida de sangre y una recuperaci\u00f3n m\u00e1s r\u00e1pida.<sup>6<\/sup><\/li>\n<li><strong>Abordaje laparosc\u00f3pico asistido por robot<\/strong>: Similar a la laparoscopia est\u00e1ndar, pero con el cirujano controlando los brazos rob\u00f3ticos desde una consola. Proporciona una visualizaci\u00f3n mejorada (visi\u00f3n tridimensional ampliada) y una mayor precisi\u00f3n en la disecci\u00f3n y sutura.<sup>7<\/sup><\/li>\n<\/ul>\n<p>\n        La recuperaci\u00f3n suele requerir de 1 a 4 d\u00edas de hospitalizaci\u00f3n, con una sonda vesical colocada durante 1 o 2 semanas.<sup>8<\/sup> Las complicaciones posoperatorias frecuentes incluyen la incontinencia urinaria (que afecta al 5-30 % de los pacientes) y la disfunci\u00f3n er\u00e9ctil (que afecta al 30-70 % de los pacientes).<sup>9<\/sup> Los estudios demuestran que las t\u00e9cnicas de preservaci\u00f3n nerviosa pueden mejorar la recuperaci\u00f3n posoperatoria de la funci\u00f3n er\u00e9ctil, aunque los resultados var\u00edan en funci\u00f3n de la funci\u00f3n preoperatoria, la edad y la t\u00e9cnica quir\u00fargica.<sup>10<\/sup>\n    <\/p>\n","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":true,"gt-view-count":0},"yoast_head":"<!-- This site is optimized with the Yoast SEO 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