Best evidence regarding the superiority or inferiority of robot-assisted radical prostatectomy

John B Eifler; Michael S Cookson

doi:10.1016/j.ucl.2014.07.004

Best evidence regarding the superiority or inferiority of robot-assisted radical prostatectomy

Urol Clin North Am. 2014 Nov;41(4):493-502. doi: 10.1016/j.ucl.2014.07.004. Epub 2014 Aug 19.

Authors

John B Eifler¹, Michael S Cookson²

Affiliations

¹ Department of Urologic Surgery, Vanderbilt University Medical Center, A1302/Medical Center North, 1161 21st Avenue, South, Nashville, TN 37232, USA. Electronic address: [email protected].
² Department of Urology, University of Oklahoma College of Medicine, 920 Stanton L. Young Boulevard, Oklahoma City, OK 73104, USA.

PMID: 25306161
DOI: 10.1016/j.ucl.2014.07.004

Abstract

Robotic-assisted laparoscopic radical prostatectomy (RALP) has enjoyed rapid adoption over the past decade without rigorous clinical studies demonstrating superior clinical outcomes over radical retropubic prostatectomy (RRP). This article reviews the literature comparing RALP and RRP with regard to oncologic, perioperative, and functional outcomes, summarizing evidence for and against the superiority of RALP.

Keywords: Comparative effectiveness; Prostate cancer; Radical prostatectomy; Robotic surgery.

Publication types

Review

MeSH terms

Humans
Laparoscopy
Lymph Node Excision
Male
Prostatectomy*
Prostatic Neoplasms / surgery*
Robotic Surgical Procedures*