Intraoperative Management of Robotic-Assisted Versus Open Radical Prostatectomy

Gainsburg, Daniel M.; Wax, David B.; Reich, David L.; Carlucci, John R.; Samadi, David B.

doi:10.4293/108680810x12674612014266

Cited by 43 publications

(43 citation statements)

References 23 publications

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“…The selected studies are consistent with prior publications with mean estimated blood loss (EBL) ranging from 50 to 200 mL and 450 to 1,200 mL for RALP and RRP, respectively [6][7][8][9]. RALP is consistently associated with a decreased need for blood transfusion, with transfusion rates ranging from 0% to 5.1% versus 3% to 65% for RRP [6, 7, 10-13, 14••, 15-17].…”

Section: Blood Losssupporting

confidence: 53%

Quality of Evidence to Compare Outcomes of Open and Robot-Assisted Laparoscopic Prostatectomy

2011

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Robot-assisted laparoscopic radical prostatectomy (RALP) has gained widespread acceptance in the treatment of prostate cancer. While it increasingly is becoming the surgical approach of choice in many centers, limited data exist directly comparing it to radical retropubic prostatectomy (RRP). This review examines the evidence comparing RALP to RRP. The outcomes evaluated are arranged into perioperative, oncologic, and functional outcomes. Of the 21 publications meeting our selection criteria, Level II, III, and IV evidence were found in 9, 1, and 11 articles, respectively. Overall, RALP was associated with lower blood loss, transfusion rates, length of stay, and higher cost when compared to RRP. Definitive conclusions regarding complications and oncologic and functional outcomes are not yet possible, and will require longer-term follow-up and well-designed randomized controlled trials.

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Section: Blood Losssupporting

confidence: 53%

Quality of Evidence to Compare Outcomes of Open and Robot-Assisted Laparoscopic Prostatectomy

2011

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“…Although evidence for better oncological and functional results are still unproven robotic assisted radical prostatectomy (1,3,15,21,26,39) is in many countries now the standard of care for the surgical removal of the prostate (4,6,22). Transfusion rates are lower and return to normal activity is shorter in RARP (5,16,20). In addition, complex situations like salvage RP or a history of rectum extirpation are no longer a contraindication for RARP (11,18).…”

Section: Resultsmentioning

confidence: 99%