Postoperative Comparison of Prostatectomy With and Without the Use of Robotic Surgery
Keywords:
prostatectomy, robotic surgery, comparative studyAbstract
Introduction: With the advancement of robotic surgery, it has become relevant to compare the postoperative impacts of prostatectomy performed with and without robotic assistance. Objective: To review and critically analyze recent studies comparing open prostatectomy (OPA) and robotic prostatectomy (RPA), based on efficacy, safety, and patient quality of life. Materials and Methods: Articles from PubMed published in the last 10 years were analyzed; of the 88 identified, 26 met the inclusion criteria, directly comparing both approaches. Results: RPA showed advantages in urinary continence at 12 months (92% vs. 84.7% for OPA), reduced blood loss (192 mL vs. 805 mL), and consequently lower transfusion rates (1% vs. 4%). Recovery was also faster, with shorter hospital stays (on average 0.5 days less). Despite higher costs, there is potential compensation through the reduction of complications and prolonged hospitalizations. Conclusion: RPA offers functional benefits and less surgical trauma. The choice of technique should consider patient profile, surgeon expertise, and resource availability.
References
López-Abad A, Server Gómez G, Loyola Maturana JP, et al. Comparative evaluation of continence and potency after radical prostatectomy: Robotic vs. laparoscopic approaches, validating LAP-01 trial. Surg Oncol. 2024;55:102098. doi:10.1016/j.suronc.2024.102098
Checcucci E, De Cillis S, Alladio E, et al. Ten-year functional and oncological outcomes of a prospective randomized controlled trial comparing laparoscopic versus robot-ass isted radical prostatectomy. Prostate. 2024;84(9):832-841. doi:10.1002/pros.24702
Fuschi A, Pastore AL, Al Salhi Y, et al. The impact of radical prostatectomy on global climate: a prospective multicentre study comparing laparoscopic versus robotic surgery. Prostate Cancer Prostatic Dis. 2024;27(2):272-278. doi:10.1038/s41391-023-00672-4
Lindenberg MMA, Retèl VVP, Kieffer JJM, et al. Long-term functional outcomes after robot-assisted prostatectomy compared to laparoscopic prostatectomy: Results from a national retrospective cluster study. Eur J Surg Oncol. 2021;47(10):2658-2666. doi:10.1016/j.ejso.2021.06.006
Carbonara U, Srinath M, Crocerossa F, et al. Robot-assisted radical prostatectomy versus standard laparoscopic radical prostatectomy: an evidence-based analysis of comparative outcomes. World J Urol. 2021;39(10):3721-3732. doi:10.1007/s00345-021-03687-5
Quinto D, Reis ST, Zampolli LJ, et al. Robotically assisted laparoscopic radical prostatectomy induces lower tissue trauma than radical retropubic prostatectomy. J Robot Surg. 2021;15(1):147-151. doi:10.1007/s11701-020-01150-y
Xu Y, Liu A, Chen L, et al. Enhanced recovery after surgery (ERAS) pathway optimizes outcomes and costs for minimally invasive radical prostatectomy. J Int Med Res. 2020;48(6):300060520920072. doi:10.1177/0300060520920072
Qi F, Wang S, Xu H, et al. A comparison of perioperative outcome between robot-assisted and laparoscopic radical prostatectomy: experience of a single institution. Int Braz J Urol. 2019;45(4):695-702. doi:10.1590/S1677-5538.IBJU.2018.0367
Lee MJ, Park DA, Lee SH. Utility after robot-assisted radical prostatectomy compared to conventional approaches for localized prostate cancer [socioeconomic perspective study]. Prostate Cancer Prostatic Dis. 2019;22(3):461-466. doi:10.1038/s41391-018-0119-9
Forsmark A, Gehrman J, Angenete E, et al. Health Economic Analysis of Open and Robot-assisted Laparoscopic Surgery for Prostate Cancer Within the Prospective Multicentre LAPPRO Trial. Eur Urol. 2018;74(6):816-824. doi:10.1016/j.eururo.2018.07.038
Jazayeri SB, Weissman B, Samadi DB. Outcomes following robotic-assisted laparoscopic prostatectomy: Pentafecta and Trifecta achievements. Minerva Urol Nefrol. 2018;70(1):66-73. doi:10.23736/S0393-2249.17.02909-5
Pavan N, Zargar H, Sanchez-Salas R, et al. Robot-assisted Versus Standard Laparoscopy for Simple Prostatectomy: Multicenter Comparative Outcomes. Urology. 2016;91:104-110. doi:10.1016/j.urology.2016.02.032
Jackson MA, Bellas N, Siegrist T, et al. Experienced Open vs Early Robotic-assisted Laparoscopic Radical Prostatectomy: A 10-year Prospective and Retrospective Comparison. Urology. 2016;91:111-118. doi:10.1016/j.urology.2015.12.072
Pearce SM, Pariser JJ, Karrison T, et al. Comparison of Perioperative and Early Oncologic Outcomes between Open and Robotic Assisted Laparoscopic Prostatectomy in a Contemporary Population Based Cohort. J Urol. 2016;196(1):76-81. doi:10.1016/j.juro.2016.01.105
Hughes D, Camp C, O'Hara J, et al. Health resource use after robot-assisted surgery vs open and conventional laparoscopic techniques in oncology: analysis of English secondary care data for radical prostatectomy and partial nephrectomy. BJU Int. 2016;117(6):940-947. doi:10.1111/bju.13401
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