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Current status of robot-assisted laparoscopic radical prostatectomy: How does it compare with other surgical approaches?

Authors
 Sey Kiat Lim  ;  Kwang Hyun Kim  ;  Tae-Young Shin  ;  Koon Ho Rha 
Citation
 INTERNATIONAL JOURNAL OF UROLOGY, Vol.20(3) : 271-284, 2013 
Journal Title
INTERNATIONAL JOURNAL OF UROLOGY
ISSN
 0919-8172 
Issue Date
2013
MeSH
Blood Loss, Surgical ; Erectile Dysfunction/etiology ; Humans ; Laparoscopy/adverse effects ; Laparoscopy/methods* ; Length of Stay ; Male ; Operative Time ; Prostatectomy/adverse effects ; Prostatectomy/methods* ; Prostatic Neoplasms/surgery* ; Robotics* ; Treatment Outcome ; Urinary Incontinence/etiology
Keywords
Blood Loss, Surgical ; Erectile Dysfunction/etiology ; Humans ; Laparoscopy/adverse effects ; Laparoscopy/methods* ; Length of Stay ; Male ; Operative Time ; Prostatectomy/adverse effects ; Prostatectomy/methods* ; Prostatic Neoplasms/surgery* ; Robotics* ; Treatment Outcome ; Urinary Incontinence/etiology
Abstract
The aim was to review the current status and evaluate the outcomes of robot-assisted laparoscopic radical prostatectomy in comparison with open radical prostatectomy and laparoscopic radical prostatectomy. Between January 2008 and June 2012, published English language comparative studies comparing robot-assisted laparoscopic radical prostatectomy with either open radical prostatectomy and/or laparoscopic radical prostatectomy were reviewed. End-points for this review include oncological, functional and perioperative outcomes, and complications. Compared with laparoscopic radical prostatectomy and/or open radical prostatectomy, robot-assisted laparoscopic radical prostatectomy offered at least equivalent oncological control. Current evidence seems to suggest a superiority of robot-assisted laparoscopic radical prostatectomy over open radical prostatectomy and laparoscopic radical prostatectomy in terms of functional outcomes, such as urinary continence and potency. Risks of perioperative complications were also low after robot-assisted laparoscopic radical prostatectomy. Robot-assisted laparoscopic radical prostatectomy offers at least equivalent oncological and functional outcomes with low risks of complications when compared with open radical prostatectomy and laparoscopic radical prostatectomy. However, there is a paucity of high-level evidence available in current literature.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1442-2042.2012.03193.x/abstract
DOI
10.1111/j.1442-2042.2012.03193.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kwang Hyun(김광현)
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Shin, Tae Young(신태영)
Lim, Sey Kiat(임세이캣)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86936
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