{"id":32939,"date":"2026-09-11T18:56:00","date_gmt":"2026-09-11T22:56:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32939"},"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\/pt-br\/glossary-term\/prostatectomia-radical\/","title":{"rendered":"Prostatectomia Radical"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[104,105],"class_list":["post-32939","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        A prostatectomia radical \u00e9 um procedimento cir\u00fargico que envolve a remo\u00e7\u00e3o completa da gl\u00e2ndula prost\u00e1tica, ves\u00edculas seminais e alguns tecidos circundantes para tratar o c\u00e2ncer de pr\u00f3stata.<sup>1<\/sup> Este procedimento \u00e9 realizado principalmente quando se acredita que o c\u00e2ncer est\u00e1 confinado \u00e0 gl\u00e2ndula prost\u00e1tica (c\u00e2ncer de pr\u00f3stata localizado).<sup>2<\/sup> A cirurgia visa remover todo o tecido canceroso, tentando preservar a contin\u00eancia urin\u00e1ria e a fun\u00e7\u00e3o er\u00e9til quando poss\u00edvel por meio de t\u00e9cnicas de preserva\u00e7\u00e3o nervosa.<sup>3<\/sup> Existem v\u00e1rias abordagens cir\u00fargicas para a prostatectomia radical, incluindo t\u00e9cnicas retrop\u00fabica aberta, perineal aberta, laparosc\u00f3pica e laparosc\u00f3pica assistida por rob\u00f4, cada uma com vantagens e considera\u00e7\u00f5es espec\u00edficas.<sup>4<\/sup>\n    <\/p>","gt-synonyms":"Prostatectomia radical retrop\u00fabica (PRR), Prostatectomia radical perineal, Prostatectomia radical assistida por rob\u00f4 (PRAR), Prostatectomia rob\u00f3tica, Prostatectomia radical laparosc\u00f3pica (PRL), Prostatectomia radical com preserva\u00e7\u00e3o nervosa, Prostatectomia 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        A prostatectomia radical \u00e9 indicada principalmente para o tratamento do c\u00e2ncer de pr\u00f3stata localizado que n\u00e3o se disseminou al\u00e9m da gl\u00e2ndula prost\u00e1tica.<sup>1<\/sup> Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes incluem aqueles com doen\u00e7a clinicamente localizada (tipicamente est\u00e1gio T1 ou T2), uma expectativa de vida de pelo menos 10 anos e bom estado geral de sa\u00fade.<sup>2<\/sup> O procedimento pode ser utilizado isoladamente ou em combina\u00e7\u00e3o com radioterapia ou terapia hormonal, dependendo do est\u00e1gio do c\u00e2ncer e dos fatores de risco.<sup>3<\/sup>\n    <\/p>\n<p>\n        O procedimento cir\u00fargico varia conforme a abordagem:\n    <\/p>\n<ul>\n<li><strong>Abordagem retrop\u00fabica<\/strong>: O cirurgi\u00e3o faz uma incis\u00e3o no abd\u00f4men inferior, abaixo do umbigo at\u00e9 o osso p\u00fabico. Essa abordagem permite a visualiza\u00e7\u00e3o direta da pr\u00f3stata e das estruturas circundantes, incluindo a capacidade de realizar linfadenectomia p\u00e9lvica, se necess\u00e1rio.<sup>4<\/sup><\/li>\n<li><strong>Abordagem perineal<\/strong>: A incis\u00e3o \u00e9 feita entre o escroto e o reto. Essa abordagem pode resultar em menor perda de sangue, mas dificulta a remo\u00e7\u00e3o dos linfonodos e acarreta maior risco de les\u00e3o retal.<sup>5<\/sup><\/li>\n<li><strong>Abordagem laparosc\u00f3pica<\/strong>: S\u00e3o feitas v\u00e1rias pequenas incis\u00f5es no abd\u00f4men, atrav\u00e9s das quais instrumentos especializados e uma c\u00e2mera s\u00e3o inseridos. Essa t\u00e9cnica minimamente invasiva geralmente resulta em menor perda de sangue e recupera\u00e7\u00e3o mais r\u00e1pida.<sup>6<\/sup><\/li>\n<li><strong>Abordagem laparosc\u00f3pica assistida por rob\u00f4<\/strong>: Semelhante \u00e0 laparoscopia padr\u00e3o, mas com o cirurgi\u00e3o controlando bra\u00e7os rob\u00f3ticos a partir de um console. Isso proporciona visualiza\u00e7\u00e3o aprimorada (vis\u00e3o 3D ampliada) e maior precis\u00e3o na dissec\u00e7\u00e3o e sutura.<sup>7<\/sup><\/li>\n<\/ul>\n<p>\n        A recupera\u00e7\u00e3o normalmente envolve de 1 a 4 dias de interna\u00e7\u00e3o hospitalar, com uma sonda vesical mantida por 1 a 2 semanas.<sup>8<\/sup> As complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias comuns incluem incontin\u00eancia urin\u00e1ria (afetando de 5 a 30% dos pacientes) e disfun\u00e7\u00e3o er\u00e9til (afetando de 30 a 70% dos pacientes).<sup>9<\/sup> Estudos mostram que as t\u00e9cnicas de preserva\u00e7\u00e3o nervosa podem melhorar a recupera\u00e7\u00e3o da fun\u00e7\u00e3o er\u00e9til p\u00f3s-operat\u00f3ria, embora os resultados variem com base na fun\u00e7\u00e3o pr\u00e9-operat\u00f3ria, idade e t\u00e9cnica cir\u00fargica.<sup>10<\/sup>\n    <\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":true,"gt-view-count":0},"yoast_head":"<!-- This site is optimized with 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