Citation McIntosh H, Macpherson K. Open, laparoscopic and robot-assisted laparoscopic radical prostatectomy for localised prostate cancer. Glasgow: Quality Improvement Scotland (NHS QIS ). Evidence Note 31. 2010 Authors' conclusions Laparoscopic prostatectomy takes longer to perform than open surgery but is associated with less intraoperative blood loss, lower blood transfusion rates, fewer complications and a shorter hospital stay.Studies comparing laparoscopic prostatectomy with robot-assisted laparoscopic surgery report inconsistent results for perioperative outcomes.There is insufficient evidence to conclude that any of the three surgical approaches is superior with regard to functional and oncological outcomes.The cost effectiveness of alternative surgical approaches to radical prostatectomy has not been established.Robot-assisted surgery may be best suited to high-volume prostatectomy centres to minimise costs associated with the learning curve. Timeliness warning This report has been archived and may contain outdated information. To request a copy of the report please contact the organisation directly. Indexing Status Subject indexing assigned by CRD MeSH Humans; Laparoscopy; Prostatectomy; Prostatic Neoplasms; Robotics Language Published English Country of organisation Scotland English summary An English language summary is available. Address for correspondence NHS Quality Improvement Scotland, Delta House, 50 West Nile Street Glasgow G1 2NP Scotland United Kingdom Tel: +44 141 225 6999; Fax: +44 141 221 3262 AccessionNumber 32011000052 Date abstract record published 26/01/2011 |
