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Retropubic, Laparoscopic, and Robot-Assisted Radical Prostatectomy: Surgical, Oncological, and Functional Outcomes: A Systematic Review
- Source :
- Urologia Internationalis. 93:373-383
- Publication Year :
- 2014
- Publisher :
- S. Karger AG, 2014.
-
Abstract
- Objectives: Despite the wide diffusion of minimally invasive approaches, such as laparoscopic (LRP) and robot-assisted radical prostatectomy (RALP), few studies compare the results of these techniques with the retropubic radical prostatectomy (RRP) approach. The aim of this study is to compare the surgical, functional, and oncological outcomes and cost-effectiveness of RRP, LRP, and RALP. Methods: A systematic review of the literature was performed in the PubMed and Embase databases in December 2013. A ‘free-text' protocol using the term ‘radical prostatectomy' was applied. A total of 16,085 records were found. The authors reviewed the records to identify comparative studies to include in the review. Results: 44 comparative studies were identified. With regard to the perioperative outcome, LRP and RALP were more time-consuming than RRP, but blood loss, transfusion rates, catheterisation time, hospitalisation duration, and complication rates were the most optimal in the laparoscopic approaches. With regard to the functional and oncological results, RALP was found to have the best outcomes. Conclusion: Our study confirmed the well-known perioperative advantage of minimally invasive techniques; however, available data were not sufficient to prove the superiority of any surgical approach in terms of functional and oncologic outcomes. On the contrary, cost comparison clearly supports RRP.
- Subjects :
- Male
medicine.medical_specialty
Cost-Benefit Analysis
Urology
medicine.medical_treatment
MEDLINE
Urinary incontinence
Settore MED/24 - Urologia
Postoperative Complications
Robotic Surgical Procedures
Blood loss
Risk Factors
medicine
Retropubic radical prostatectomy
Humans
Laparoscopy
Prostatectomy
medicine.diagnostic_test
business.industry
General surgery
Prostatic Neoplasms
Health Care Costs
Perioperative
Treatment Outcome
medicine.symptom
business
Radical retropubic prostatectomy
Subjects
Details
- ISSN :
- 14230399 and 00421138
- Volume :
- 93
- Database :
- OpenAIRE
- Journal :
- Urologia Internationalis
- Accession number :
- edsair.doi.dedup.....3b81fec442e7b36760186b7a059d6415