ROBOTIC-ASSISTED LAPAROSCOPIC PROSTATECTOMY: A CRITICAL ASSESSMENT OF OUTCOMES


Authors: G. T. Gotto;  J. A. Eastham
Authors‘ workplace: Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, USA
Published in: Urol List 2009; 7(4): 5-9

Overview

Robotic-assisted laparoscopic prostatectomy (RALP) is gaining popularity despite a paucity of evidence showing significant advantages over open radical prostatectomy (ORP). In fact, RALP has become the most common approach used in the management of clinically localized prostate cancer in the United States. This review provides a critical assessment of the outcomes of ORP and RALP. There is wide variation in the reported oncologic and functional outcomes following ORP and RALP but no prospective randomized stu­dies comparing the two. The few prospective non-randomized studies show inconsistent improvements in some outcomes with one modality over the other but this can be attributed to surgeon preference for a particular technique.

Key words:
outcomes, prostate, prostatic neoplasms, prostatectomy, robotics


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Paediatric urologist Urology

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