Update on Robotic Laparoscopic Radical Prostatectomy
Overview
Affiliations
The da Vinci surgical robot has been shown to help shorten the learning curve for laparoscopic radical prostatectomy (LRP) for both laparoscopically skilled and naïve surgeons[1,2]. This approach has shown equal or superior outcomes to conventional laparoscopic prostatectomy with regard to ease of learning, initial complication rates, conversion to open, blood loss, complications, continence, potency, and margin rates. Although the data are immature to compare oncologic and functional outcomes to open prostatectomy, preliminary data are promising. Herein, we review the technique and outcomes of robotic-assisted laparoscopic radical prostatectomy (RALP).
Are there advantages to robotic-assisted surgery over laparoscopy from the surgeon's perspective?.
Van Koughnett J, Jayaraman S, Eagleson R, Quan D, van Wynsberghe A, Schlachta C J Robot Surg. 2016; 3(2):79-82.
PMID: 27638219 DOI: 10.1007/s11701-009-0144-8.
The impact of cavernosal nerve preservation on continence after robotic radical prostatectomy.
Pick D, Osann K, Skarecky D, Narula N, Finley D, Ahlering T BJU Int. 2011; 108(9):1492-6.
PMID: 21244602 PMC: 4230821. DOI: 10.1111/j.1464-410X.2010.10015.x.
Song J, Kang W, Oh S, Hyung W, Choi S, Noh S Surg Endosc. 2009; 23(6):1204-11.
PMID: 19263147 DOI: 10.1007/s00464-009-0351-4.