Robotic Prostatectomy Review Points to Positive Outcomes
Option appears to compare well to laparoscopic, open procedures on blood loss, other measures
MONDAY, July 21 (HealthDay News) -- A review of articles comparing robotically assisted prostatectomies with open and laparoscopic procedures offers data on outcomes to help guide surgical choice. The review was published in the July issue of Urology.
Roy Berryhill, Jr., of New York-Presbyterian Hospital, Weill Medical College of Cornell University in New York City, and colleagues identified 22 reports on robotic prostatectomy, with intraoperative data including operative time, estimated blood loss and complication rate.
The mean operative time for robotic procedures -- 164 minutes -- is comparable to the mean times for laparoscopic and open radical prostatectomies, which were 227 and 147 minutes, respectively, the researchers report. Mean estimated blood loss for robotic, laparoscopic and open procedures was 152, 406 and 697 milliliters, respectively. The mean overall complication rate for robotic, laparoscopic and open procedures was 6.6, 15.6 and 10.3 percent, respectively. Robotic procedures had a lower mean positive surgical margin rate -- 12.5 percent -- than laparoscopic and open radical prostatectomies, which were 19.6 and 23.5 percent, respectively, the report indicates.
"The gold standard of evaluation tools, the randomized controlled trial, is required in the future to help direct prostate cancer patients and practitioners. Nevertheless, robotic surgery seems to be sought after by many patients and continues to be refined," the authors conclude.