Table of Contents
ISRN Urology
Volume 2011, Article ID 201408, 7 pages
Review Article

Robotic-Assisted Laparoscopic Prostatectomy for High-Risk Prostate Cancer: Technical Considerations and Review of the Literature

1Division of Urology, University of California, 200 West Arbor Drive 8897, San Diego, CA 92103-8897, USA
2Section of Urologic Oncology, Moores UCSD Cancer Center, La Jolla, CA 92093, USA
3Urology Section Veterans Affairs San Diego Medical Center, La Jolla, CA 92103, USA

Received 12 July 2011; Accepted 2 August 2011

Academic Editors: B. Delahunt, R. Goel, and T. Nishiyama

Copyright © 2011 Sean P. Stroup and Christopher J. Kane. 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.


Men with high-risk prostate cancer are at significant risk of progressive, symptomatic disease leading to metastases or death from prostate cancer. Surgery—specifically robotic-assisted laparoscopic prostatectomy (RALP)—is increasingly being considered as a key component of a multimodal strategy to treat these patients. Herein, we review key technical considerations of performing RALP with bilateral pelvic lymphadenectomy in men with high-risk disease. Recent literature supporting the increasing role of surgery either alone or in combination with adjuvant therapies to treat men with high-risk prostate cancer is also reviewed.