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Abstract

Volume 11, Issue 1 (January 2009) 11, 94–99; 10.1038/aja.2008.10

Outcomes after robot-assisted laparoscopic radical prostatectomy

Declan G. Murphy1, Benjamin J. Challacombe2 and Anthony J. Costello2

1 The Urology Centre, Guy’s & St. Thomas’ NHS Foundation Trust, London SEI 9RT, UK
2 Department of Urology, Royal Melbourne Hospital, Melbourne VIC 3054, Australia

Correspondence: Mr Declan G. Murphy, E-mail: decmurphy@doctors.net.uk

Received 7 September 2008; Accepted 13 September 2008; Published online 1 December 2008.

Abstract

Robot-assisted laparoscopic radical prostatectomy (RALRP) using the da Vinci surgical system is now in widespread use in many countries where economic conditions allow the installation of this expensive technology. Controversy has surrounded the procedure since it was first performed in 2000, with many critics highlighting the lack of evidence to support its use. However, despite the lack of level I evidence, many large studies of patients have confirmed that the procedure is feasible and safe, with low morbidity. Available longer-term oncological data seem to show that outcomes from the robotic approach at least match those of traditional open radical prostatectomy. Functional outcomes also seem satisfactory, although randomized controlled trials are lacking. This paper reviews the current status of RALRP with respect to perioperative data and complications and oncologic and functional outcomes.

Keywords: da Vinci, laparoscopic, outcomes, prostate cancer, radical prostatectomy, robotic

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