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ISRN Urology
Volume 2013 (2013), Article ID 157379, 22 pages
http://dx.doi.org/10.1155/2013/157379
Review Article

Robotic-Assisted Radical Prostatectomy after the First Decade: Surgical Evolution or New Paradigm

Department of Urology, University of California, Irvine, CA 92697, USA

Received 10 January 2013; Accepted 7 February 2013

Academic Editors: A. Fandella, C. D. Lallas, A. Papatsoris, and A. C. Thorpe

Copyright © 2013 Douglas W. Skarecky. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Early studies indicate that robotic-assisted radical prostatectomy (RARP) has promising short-term outcomes; however, RARP is beyond its infancy, and the long-term report cards are now beginning. The important paradigm shift introduced by RARP is the reevaluation of the entire open radical prostatectomy experience in surgical technique by minimizing blood loss and complications, maximizing cancer free outcomes, and a renewed assault in preserving quality of life outcomes by many novel mechanisms. RARP provides a new technical “canvas” for surgical masters to create upon, and in ten years, has reinvigorated a 100-year-old “gold standard” surgery.