[Radical robot prostatectomy: oncological outcomes]
- PMID: 17626534
[Radical robot prostatectomy: oncological outcomes]
Abstract
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.
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