Radical robot prostatectomy: oncological outcomes
Rodríguez, E.; Skarecky, D.W.; Ahlering, T.E.
Archivos Espanoles de Urologia 60(4): 421-429
2007
ISSN/ISBN: 0004-0614 PMID: 17626534 Document Number: 610348
To review the current literature on oncologic outcomes following robot-assisted laparoscopic radical prostatectomy. A systematic MEDLINE search was performed to retrieve articles relating to oncologic outcomes with robot-assisted laparoscopic prostatectomy. Two reviewers independently selected studies, assessed their methodological quality and extracted data. Positive surgical margin rates in RALP are commensurate to contemporary open and standard laparoscopic series. Surgical experience and refinement of technique helped decrease positive margins. Long-term biochemical disease-free survival (PSA <0.1 ng/ml) following RALP is currently unknown, with only 2 series reporting data with > 12 month follow-up. RALP is a safe and reproducible treatment modality for organ-confined prostate cancer and provides excellent short-term oncological control. Larger studies with long-term oncologic follow-up are needed to establish the efficacy compared to more traditional surgical approaches.