Advances in Urology

Review Article

Efficacy of Robotic-Assisted Prostatectomy in Localized Prostate Cancer: A Systematic Review of Clinical Trials

Table 2

Comparison of outcomes among the three prostatectomy approaches.


Outcome	Guazzoni et al., 2006 [16]			Asimakopoulos et al., 2011 [17]			Porpiglia et al., 2013 [18]
Outcome	PRP ()	LRP ()	value	LRP ()	RALRP ()	value	LRP ()	RALRP ()	value

Lost to follow-up	0	0		4 (6.25%)	12 (18.75%)		0	0
Operative time (min)	170 (34.2)	235 (49.9)	<0.001				138.1 (29.7)	147.6 (27.1)	0.068
Blood loss (mL)	853.3 (485)	257.3 (177)	<0.001				234.1 (150.1)	202 (124.0)	0.203
Transfusion	27 (45)*	8 (13.3)*	<0.001	3 (5)	0 (0)	0.1
Catheterization time (days)				7.45 (2.3)	7.25 (2.7)	0.14	7.0 (0.5)	7.5 (3.9)	0.322
Catheter at 5th POP day	40 (66.6)	52 (86.6)	<0.001
Hospital release at 6th POP day	52 (86.6)	54 (90)	0.011
Hospitalization time (days)							4.6 (2.1)	4.8 (1.9)	0.5853
Postoperative complications
Anastomotic leakage	20 (33)	8 (12)
Acute urinary retention	1 (1.66)	1 (1.66)
Fever	3 (5)	1 (1.66)
Persistent lymphorrhea	5 (8.3)	4 (6.6)
Rectal damage	0	1 (1.66)
Total complications				5 (8)	8 (15)	0.24	7 (11.6)	10 (16.6)	0.433
Positive margins
pT2	8 (18.25)	11 (24.4)	0.39	4 (7.7)	3 (7)	0.89	6/37 (16.2)	5/37 (13.5)	0.744
pT3	5 (31.24)	5 (33.3)	0.88	2 (25)	5 (55.6)	0.2	6/22 (27)	11/22 (50)	0.122
Total	13 (21.6)	16 (26)	0.28	6 (10)	8 (15.4)	0.39	12 (20)	16 (26.6)	0.388
Biochemical relapse				2 (3)	4(8)	0.3
Biochemical relapse-free survival rate at 12 months							98%	92.5%	0.190
Recovery of urinary continence at 12 months				50 (83)	49 (94)	0.07	50 (83.30)	57 (95)	0.04
Urinary continence recovery time (months)				3.03 (2.92)	2.56 (4.21)	0.27
Recovery of erectile function at 12 months				19 (32)	40 (77)	<0.0001	19 (54.2)^†	28 (80)^†	0.02
Sexual potency recovery (months)				6.32 (5.16)	2.37 (2.27)	0.0001

RRP: radical retropubic prostatectomy; LRP: laparoscopic prostatectomy; RALRP: robotic-assisted laparoscopic radical prostatectomy; POP: postoperative.
Values expressed as numbers (percentage) or mean (standard deviation) accordingly. In some articles, only the number or percentage was reported.
Autologous transfusion.
Nerve-sparring surgery subgroup ( on each arm).