Robot-assisted versus pure laparoscopic radical prostatectomy

被引：0
作者：
Francois Rozet
Justin Harmon
Xavier Cathelineau
Eric Barret
Guy Vallancien
机构：
[1] Institut Montsouris,Department of Urology
[2] Université René Descartes,undefined
来源：
World Journal of Urology | 2006年 / 24卷
关键词：
Robotics; Laparoscopy; Prostatectomy;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The aim of this study is to report the relative advantages and disadvantages of the radical prostatectomy with a laparoscopic (LRP) and a robotic (RALP) approach. A medline search was performed. Published data regarding perioperative parameters, complications, oncological results, functional results were analyzed. Shorter learning curves have been reported with the RALP. Intra-operative and post-operative outcomes appear to be comparable between the two approaches. The average time for LRP is 234 min (151–453) versus 182 min (141–250) for RALP. Estimated blood loss for the LRP averages 482 ml (185–850) versus 234 ml (75–500) for the RALP. Complication rates in single institution studies are similar. Long-term outcomes data on PSA progression is not yet available for LRP or RALP due to their relatively short existence. RALP appears to offer a significant benefit to the laparoscopically naïve surgeon with respect to learning curve when compared to LRP. This, however, comes at an increased cost. Intra-operative and post-operative outcomes appear to be similar. Longer follow-up data is necessary to compare oncological and functional outcomes.
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页码：171 / 179
页数：8
相关论文
共 218 条
[21]  
Salomon L(2005)Robotic-assisted laparoscopic prostatectomy: do minimally invasive approaches offer significant advantages? J Clin Oncol 23 8170-8175
[22]  
Sebe P(2001)Laparoscopic radical prostatectomy. The Creteil experience Eur Urol 40 38-45
[23]  
De la Taille A(2001)Extraperitoneal laparoscopic radical prostatectomy. Results after 50 cases Eur Urol 40 65-69
[24]  
Bhayani SB(2004)Extraperitoneal standard laparoscopic radical prostatectomy (discussion 609–610) J Endourol 18 605-609
[25]  
Pavlovich CP(2001)Laparoscopic radical prostatectomy with a remote controlled robot J Urol 165 1964-1966
[26]  
Hsu TS(2003)Laparoscopic radical prostatectomy: description of the extraperitoneal approach using the da Vinci robotic system J Urol 170 416-419
[27]  
Sullivan W(2004)Robotic radical prostatectomy: the European experience Urol Clin North Am 31 693-699
[28]  
Su LM(2002)Radical prostatectomy by the retropubic, perineal and laparoscopic approach: 12 years of experience in one center (discussion 110–101) Eur Urol 42 104-110
[29]  
Menon M(2005)Robotic assisted laparoscopic radical prostatectomy versus retropubic radical prostatectomy: a prospective assessment of postoperative pain (discussion 914) J Urol 174 912-914
[30]  
Tewari A(2002)Prospective comparison of radical retropubic prostatectomy and robot-assisted anatomic prostatectomy: the Vattikuti Urology Institute experience Urology 60 864-868
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