Publication year: 2010
Source: European Urology Supplements, In Press, Corrected Proof, Available online 12 March 2010
Jens, Rassweiler , Marcel, Hruza , Jan, Klein , Ali S., Goezen , Dogu, Teber
Context: In the United States, >70% of all radical prostatectomies are performed by use of the da Vinci robot. In Europe, laparoscopic radical prostatectomy (LRP) still plays a significant role. Objective: To evaluate the actual and future position of LRP based on the current literature and personal experience with robotic and laparoscopic radical prostatectomy. Evidence acquisition: PubMed and Medline were used to review the recent literature focusing on ergonomic aspects, marketing, and current functional and oncologic results of both procedures as well as of the open counterpart. Evidence synthesis: The advantages of robot-assisted laparoscopic prostatectomy (RALP) are mainly related to ergonomic aspects of the procedure, such as…
Graphical abstract
Robotic-assisted surgery provides the best ergonomics for laparoscopy, resulting in a shorter learning curve. Ergonomics of standard laparoscopy require significant improvement. Such ideas should be implemented for new approaches, such as laparoendoscopic single-site surgery, closing the gap between robot-assisted and laparoscopic surgery.