Abstract

RODRIGUEZ JR., Esequiel; SKARECKY, Douglas W.  and  AHLERING, Thomas E.. Radical robot prostatectomy: oncological outcomes. Arch. Esp. Urol. [online]. 2007, vol.60, n.4, pp.421-429. ISSN 0004-0614.

Objectives: To review the current literature on oncologic outcomes following robot-assisted laparoscopic radical prostatectomy. Methods: 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. Results: 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. Conclusions: 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.

Keywords : Robot-assisted; Laparoscopic radical prostatectomy; Oncological outcomes; Surgical margins; PSA recurrence.

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