Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2012 Mar;10(1):23-31.
doi: 10.1016/j.aju.2011.12.005. Epub 2012 Feb 2.

Robotic radical prostatectomy: The new gold standard

Sameer Chopra  1 , Abhishek Srivastava  1 , Ashutosh Tewari  1
Affiliations
Review

Robotic radical prostatectomy: The new gold standard

Sameer Chopra et al. Arab J Urol. 2012 Mar.

Abstract

Objectives: Open radical prostatectomy (RP) has been the standard and primary treatment for focal prostate cancer. However, in recent years this view has changed, as robot-assisted laparoscopic RP has gained acceptance among urologists. In this review we evaluate the importance and place of robotics in laparoscopic urological surgery, discussing several techniques that are currently being used and potentially new techniques that might be used in the future.

Methods: We systematically reviewed papers published between 1998 and 2011 using the keywords 'robotic prostatectomy' 'gold standard' and the Medline database. In addition, after selecting relevant reports we searched 'related citations' of the documents to find further supporting published papers.

Results: In all, 50 original papers were identified using the search criteria; we also found 28 through 'related citations' browsing. Papers were selected according to their relevance to the current topic (i.e. RP, original articles) and incorporated into this review. These papers were used for their information on the advantages of using robotics, as well as innovative ideas being used in the field of robotic urological surgery.

Conclusion: Almost a decade after the first robotic RP many reports show the benefits and advantages of incorporating robotics into urological surgery. Robotic surgery decreases the learning curve necessary for surgeons when compared with laparoscopic techniques. In addition, patients prefer robotics, as the procedure is less invasive, diminishes the duration of hospitalisation and speeds the return to function.

Keywords: (P)NVB, (predominant) neurovascular bundle; (RA)RP, (robot-assisted) radical prostatectomy; 3D, three-dimensional; DVC, dorsal vein complex; EPE, extraprostatic extension; LPF, lateral pelvic fascia; PNP, primary neural plate; Radical prostatectomy; Robotic; Standard; Technique.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Illustration demonstrating how the articles referenced in the paper were found and selected.
See this image and copyright information in PMC

References

    1. Rocco B., Matei D.V., Melegari S., Ospina J.C., Mazzoleni F., Errico G. Robotic vs open prostatectomy in a laparoscopically naive centre: a matched-pair analysis. BJU Int. 2009;104:991–995. - PubMed
    1. Dasgupta P., Kirby R.S. The current status of robot-assisted radical prostatectomy. Asian J Androl. 2009;11:90–93. - PMC - PubMed
    1. Stoianovici D. Robotic surgery. World J Urol. 2000;18:289–295. - PubMed
    1. Cadeddu J.A., Stoianovici D., Kavoussi L.R. Robotic surgery in urology. Urol Clin North Am. 1998;25:75–85. - PubMed
    1. Hubert J. Robotic pyeloplasty. Curr Urol Rep. 2003;4:124–129. - PubMed