696: Positive Influence of Robotic Assisted Laparoscopic Prostatectomy on the Collaborative Care Pathway for Open Radical Prostatectomy

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.

Download Full-text

Robotic-Assisted Laparoscopic Prostatectomy: Do Minimally Invasive Approaches Offer Significant Advantages?

Journal of Clinical Oncology ◽

10.1200/jco.2005.03.1963 ◽

2005 ◽

Vol 23 (32) ◽

pp. 8170-8175 ◽

Cited By ~ 79

Author(s):

Joseph A. Smith ◽

S. Duke Herrell

Keyword(s):

Radical Prostatectomy ◽

Open Surgery ◽

Radical Retropubic Prostatectomy ◽

Robotic Assisted ◽

Laparoscopic Prostatectomy ◽

Retropubic Prostatectomy ◽

Experienced Surgeon ◽

Open Radical Prostatectomy ◽

Postoperative Continence ◽

Invasive Surgical Approach

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.

Download Full-text

MP-16.07: Comparative Analysis between Robotic Assisted Laparoscopic Prostatectomy and Open Radical Prostatectomy: Defining the Initial Learning Curve

Urology ◽

10.1016/j.urology.2009.07.821 ◽

2009 ◽

Vol 74 (4) ◽

pp. S121

Author(s):

P. Chen ◽

K. Rasiah ◽

R. Thanigasalam ◽

S. Henshall ◽

P. Stricker

Keyword(s):

Comparative Analysis ◽

Radical Prostatectomy ◽

Learning Curve ◽

Robotic Assisted ◽

Laparoscopic Prostatectomy ◽

Open Radical Prostatectomy ◽

Initial Learning

Download Full-text

The Role of a Standardized Clinical Care Pathway in Patient Satisfaction and Quality of Life Outcomes after Robotic Assisted Laparoscopic Radical Prostatectomy

Urology Practice ◽

10.1016/j.urpr.2016.06.006 ◽

2017 ◽

Vol 4 (3) ◽

pp. 232-238

Author(s):

George A. Turini ◽

Melissa A. Clark ◽

Jason Machan ◽

Christopher Tucci ◽

Joseph F. Renzulli

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Radical Prostatectomy ◽

Care Pathway ◽

Clinical Care ◽

Life Outcomes ◽

Robotic Assisted ◽

Clinical Care Pathway

Download Full-text

Evidence-Based Comparison of Robotic and Open Radical Prostatectomy

The Scientific World JOURNAL ◽

10.1100/tsw.2010.218 ◽

2010 ◽

Vol 10 ◽

pp. 2228-2237 ◽

Cited By ~ 16

Author(s):

William T. Lowrance ◽

Tatum V. Tarin ◽

Shahrokh F. Shariat

Keyword(s):

Cost Effectiveness ◽

Radical Prostatectomy ◽

Radical Retropubic Prostatectomy ◽

Evidence Based ◽

High Quality ◽

Robotic Assisted ◽

Retropubic Prostatectomy ◽

Open Radical Prostatectomy ◽

High Quality Evidence ◽

Quality Evidence

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.

Download Full-text