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TheScientificWorldJOURNAL
Volume 6, Pages 2589-2061
http://dx.doi.org/10.1100/tsw.2006.400
Review Article

Robotic-Assisted Laparoscopic Radical Prostatectomy: An Objective Assessment and Review of the Literature

Section of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, WA, USA

Received 22 February 2006; Revised 27 July 2006; Accepted 28 July 2006

Academic Editor: William D. Steers

Copyright © 2006 Lester S. Borden Jr. and Paul M. Kozlowski.

Abstract

Robotic-assisted laparoscopic radical prostatectomy (RLRP) has become an accepted treatment option for men with prostate cancer. A search of the available literature through January 2006 was performed to analyze the surgical technique, outcomes data, and other unique issues regarding RLRP. While prospective, randomized trials and long-term data are lacking, short-term data from single institution series have demonstrated outcomes for RLRP that appear to be equivalent to those for open radical prostatectomy (ORP). Although not yet proven, some encouraging data suggest that RLRP may be able to achieve improved cancer control, postoperative urinary control, and erectile function compared to open surgery for prostate cancer. Definite advantages of RLRP over ORP are not yet established. Future studies will determine the role of RLRP in the surgical treatment of men with prostate cancer.