Principles of Open Radical Prostatectomy: Applied to Robotic-Assisted Laparoscopic Prostatectomy

Author(s):  
Joseph A. Smith
2014 ◽  
Vol 92 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Katsumi Shigemura ◽  
Kazushi Tanaka ◽  
Fukashi Yamamichi ◽  
Mototsugu Muramaki ◽  
Soichi Arakawa ◽  
...  

Author(s):  
Philipp Dahm

This chapter summarizes an important observational study using claims-based data that compared minimally invasive radical prostatectomy (mostly performed as robotic-assisted laparoscopic prostatectomy) to open radical prostatectomy using propensity scoring. The results favored minimally invasive radical prostatectomy for the outcomes of perioperative complications, rates of transfusion, and length of stay but not other patient-important outcomes.


2005 ◽  
Vol 23 (32) ◽  
pp. 8170-8175 ◽  
Author(s):  
Joseph A. Smith ◽  
S. Duke Herrell

Radical prostatectomy has maintained a cardinal role in the treatment of localized prostate cancer. Robotic-assisted laparoscopic prostatectomy (RALP) has been introduced as a less invasive surgical approach. Available data on RALP versus open approaches were reviewed for surgical and cancer related outcomes. RALP is consistently associated with decreased blood loss and limited postoperative pain and hospital stay. Surgical margins seem similar between most reported series of RALP or open radical prostatectomy. Most intrainstitutional comparisons demonstrate better postoperative continence and potency with RALP, but there is still debate about whether results are superior to radical retropubic prostatectomy in the hands of a highly experienced surgeon. RALP provides outcomes at least comparable, and, in some measures, superior to open surgery. Refinements of instrumentation may provide even better results in the future.


2005 ◽  
Vol 173 (4S) ◽  
pp. 190-190
Author(s):  
Melissa R. Kaufman ◽  
Roxelyn G. Baumgartner ◽  
Joseph A. Smith ◽  
Sam S. Chang ◽  
S. Duke Herrell ◽  
...  

2010 ◽  
Vol 10 ◽  
pp. 2228-2237 ◽  
Author(s):  
William T. Lowrance ◽  
Tatum V. Tarin ◽  
Shahrokh F. Shariat

The rapid adoption of robotic-assisted laparoscopic radical prostatectomy (RALP) has occurred despite a lack of high-quality evidence demonstrating its oncologic advantages, safety, or cost effectiveness compared with open radical retropubic prostatectomy (ORP). This review examines the current literature comparing ORP and RALP, focusing on perioperative, oncologic, functional, and economic outcomes.


2014 ◽  
Vol 13 (1) ◽  
pp. e174
Author(s):  
N. Hanna ◽  
J.C. Hu ◽  
G. Gandaglia ◽  
P.L. Nguyen ◽  
Y-C.T. Shih ◽  
...  

2006 ◽  
Vol 6 ◽  
pp. 2589-2061 ◽  
Author(s):  
Lester S. Borden Jr. ◽  
Paul M. Kozlowski

Robotic-assisted laparoscopic radical prostatectomy (RLRP) has become an accepted treatment option for men with prostate cancer. A search of the available literature through January 2006 was performed to analyze the surgical technique, outcomes data, and other unique issues regarding RLRP. While prospective, randomized trials and long-term data are lacking, short-term data from single institution series have demonstrated outcomes for RLRP that appear to be equivalent to those for open radical prostatectomy (ORP). Although not yet proven, some encouraging data suggest that RLRP may be able to achieve improved cancer control, postoperative urinary control, and erectile function compared to open surgery for prostate cancer. Definite advantages of RLRP over ORP are not yet established. Future studies will determine the role of RLRP in the surgical treatment of men with prostate cancer.


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