CISTECTOMIA RADICAL ROBÓTICA NO TRATAMENTO DE CÂNCER DE BEXIGA: REVISÃO INTEGRATIVA

Introduction: Bladder cancer remains the most common malignant neoplasm of the urinary tract. The gold standard treatment is open radical cystectomy. Minimally invasive surgical techniques, such as robot-assisted cystectomy, have been widely used. Objectives: To compare the robotic approach with the conventional open technique. Methodology: This is an integrative review, in which the guiding question was "What are the advantages of the robot-assisted technique in cystectomy of patients with bladder cancer compared to open radical cystectomy?". The search for articles was conducted in the PubMed database using the terms "cystectomy", "robot-assisted" and "cancer" combined with Boolean operators. Results and discussion: Robotic cystectomy was able to improve overall body function when compared to open surgery, in addition to enabling better quality of life and lower mortality. However, there was an increase in reports of urinary symptoms. Conclusion: Therefore, we conclude that robotic cystectomy can provide a better postoperative period for the patient and is also superior in relation to quality of life after the surgical procedure. However, an increase is observed regarding urinary symptoms. Thus, more studies should be done to observe the best approach depending on the condition of the patient who will undergo cystectomy.Introducción: El cáncer de vejiga sigue siendo la neoplasia maligna más frecuente del tracto urinario. El tratamiento de referencia es la cistectomía radical abierta. Las técnicas quirúrgicas mínimamente invasivas, como la cistectomía asistida por robot, se han utilizado ampliamente. Objetivos: Comparar el abordaje robótico con la técnica abierta convencional. Metodología: Se trata de una revisión integradora, en la que la pregunta norteadora fue "¿Cuáles son las ventajas de la técnica asistida por robot en la cistectomía de pacientes portadores de cáncer de córnea en comparación con la cistectomía radical abierta?". La búsqueda de artículos se realizó en la base de datos PubMed utilizando los términos "cystectomy", "robot-assisted" y "cancer" combinados con operadores booleanos. Resultados y discusión: La cistectomía robótica fue capaz de mejorar la función corporal general en comparación con la cirugía abierta, además de permitir una mejor calidad de vida y una menor mortalidad. Sin embargo, hubo un aumento en los informes de síntomas urinarios. Conclusión: Por lo tanto, se concluye que la cistectomía robótica es capaz de brindar un mejor postoperatorio al paciente, siendo también superior en cuanto a la calidad de vida después del procedimiento quirúrgico. Sin embargo, se observa un aumento en cuanto a los síntomas urinarios. Por lo tanto, se deben realizar más estudios para observar el mejor abordaje según la condición del paciente que se someterá a la cistectomía.O câncer de bexiga continua sendo a neoplasia maligna mais comum do trato urinário. O tratamento padrão-ouro é a cistectomia radical aberta. Técnicas cirúrgicas minimamente invasivas, como a cistectomia assistida por robô, têm sido amplamente utilizadas. Objetivos: Comparar a abordagem robótica com a técnica aberta convencional. Metodologia: Trata-se de uma revisão integrativa, em que a questão norteadora foi “Quais as vantagens da técnica assistida por robô na cistectomia de pacientes portadores de câncer de bexiga em comparação à cistectomia radical aberta?”. A busca pelos artigos ocorreu na base de dados PubMed a partir dos termos “cystectomy”, "robot-assisted" e “cancer” combinados entre si por operadores booleanos. Resultados e discussão: A cistectomia robótica foi capaz de melhorar a função geral do organismo, quando comparada a cirurgia aberta, além de possibilitar melhor qualidade de vida e menor mortalidade. Entretanto, houve aumento de relatos de sintomas urinários. Conclusão: Portanto, conclui-se que a cistectomia robótica é capaz de possibilitar um melhor período pós-operatório ao paciente, sendo superior também em relação à qualidade de vida após o procedimento cirúrgico. Contudo, é observado um aumento no que diz respeito aos sintomas urinários. Assim, devem ser feitos mais estudos para que se observe a melhor abordagem a depender do quadro do paciente que será submetido à cistectomia.Introdução: O câncer de bexiga continua sendo a neoplasia maligna mais comum do trato urinário. O tratamento padrão-ouro é a cistectomia radical aberta. Técnicas cirúrgicas minimamente invasivas, como a cistectomia assistida por robô, têm sido amplamente utilizadas. Objetivos: Comparar a abordagem robótica com a técnica aberta convencional. Metodologia: Trata-se de uma revisão integrativa, em que a questão norteadora foi “Quais as vantagens da técnica assistida por robô na cistectomia de pacientes portadores de câncer de bexiga em comparação à cistectomia radical aberta?”. A busca pelos artigos ocorreu na base de dados PubMed a partir dos termos “cystectomy”, "robot-assisted" e “cancer” combinados entre si por operadores booleanos. Resultados e discussão: A cistectomia robótica foi capaz de melhorar a função geral do organismo, quando comparada a cirurgia aberta, além de possibilitar melhor qualidade de vida e menor mortalidade. Entretanto, houve aumento de relatos de sintomas urinários. Conclusão: Portanto, conclui-se que a cistectomia robótica é capaz de possibilitar um melhor período pós-operatório ao paciente, sendo superior também em relação à qualidade de vida após o procedimento cirúrgico. Contudo, é observado um aumento no que diz respeito aos sintomas urinários. Assim, devem ser feitos mais estudos para que se observe a melhor abordagem a depender do quadro do paciente que será submetido à cistectomia

Brazilian Flora 2020: Leveraging the power of a collaborative scientific network

International audienceThe shortage of reliable primary taxonomic data limits the description of biological taxa and the understanding of biodiversity patterns and processes, complicating biogeographical, ecological, and evolutionary studies. This deficit creates a significant taxonomic impediment to biodiversity research and conservation planning. The taxonomic impediment and the biodiversity crisis are widely recognized, highlighting the urgent need for reliable taxonomic data. Over the past decade, numerous countries worldwide have devoted considerable effort to Target 1 of the Global Strategy for Plant Conservation (GSPC), which called for the preparation of a working list of all known plant species by 2010 and an online world Flora by 2020. Brazil is a megadiverse country, home to more of the world's known plant species than any other country. Despite that, Flora Brasiliensis, concluded in 1906, was the last comprehensive treatment of the Brazilian flora. The lack of accurate estimates of the number of species of algae, fungi, and plants occurring in Brazil contributes to the prevailing taxonomic impediment and delays progress towards the GSPC targets. Over the past 12 years, a legion of taxonomists motivated to meet Target 1 of the GSPC, worked together to gather and integrate knowledge on the algal, plant, and fungal diversity of Brazil. Overall, a team of about 980 taxonomists joined efforts in a highly collaborative project that used cybertaxonomy to prepare an updated Flora of Brazil, showing the power of scientific collaboration to reach ambitious goals. This paper presents an overview of the Brazilian Flora 2020 and provides taxonomic and spatial updates on the algae, fungi, and plants found in one of the world's most biodiverse countries. We further identify collection gaps and summarize future goals that extend beyond 2020. Our results show that Brazil is home to 46,975 native species of algae, fungi, and plants, of which 19,669 are endemic to the country. The data compiled to date suggests that the Atlantic Rainforest might be the most diverse Brazilian domain for all plant groups except gymnosperms, which are most diverse in the Amazon. However, scientific knowledge of Brazilian diversity is still unequally distributed, with the Atlantic Rainforest and the Cerrado being the most intensively sampled and studied biomes in the country. In times of “scientific reductionism”, with botanical and mycological sciences suffering pervasive depreciation in recent decades, the first online Flora of Brazil 2020 significantly enhanced the quality and quantity of taxonomic data available for algae, fungi, and plants from Brazil. This project also made all the information freely available online, providing a firm foundation for future research and for the management, conservation, and sustainable use of the Brazilian funga and flora

Growing knowledge: an overview of Seed Plant diversity in Brazil

Abstract An updated inventory of Brazilian seed plants is presented and offers important insights into the country's biodiversity. This work started in 2010, with the publication of the Plants and Fungi Catalogue, and has been updated since by more than 430 specialists working online. Brazil is home to 32,086 native Angiosperms and 23 native Gymnosperms, showing an increase of 3% in its species richness in relation to 2010. The Amazon Rainforest is the richest Brazilian biome for Gymnosperms, while the Atlantic Rainforest is the richest one for Angiosperms. There was a considerable increment in the number of species and endemism rates for biomes, except for the Amazon that showed a decrease of 2.5% of recorded endemics. However, well over half of Brazillian seed plant species (57.4%) is endemic to this territory. The proportion of life-forms varies among different biomes: trees are more expressive in the Amazon and Atlantic Rainforest biomes while herbs predominate in the Pampa, and lianas are more expressive in the Amazon, Atlantic Rainforest, and Pantanal. This compilation serves not only to quantify Brazilian biodiversity, but also to highlight areas where there information is lacking and to provide a framework for the challenge faced in conserving Brazil's unique and diverse flora