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Robotic-Assisted Simple Prostatectomy: A Systematic Review.
J Clin Med. 2020 Jun 09; 9(6)JC

Abstract

Contemporary minimally invasive surgical (MIS) treatment options of patients with male Lower Urinary Tract Symptoms (LUTS) in men with prostate glands >80 mL include Holmium Laser Enucleation Prostate (HoLEP), Thulium laser VapoEnucleation Prostate (ThuVEP), and Laparoscopic (LSP) or Robotic-Assisted Simple Prostatectomy (RASP). Implementing new laser technologies is costly, and the steep learning curve of these laser techniques limit their wide range use. This promoted the use of LSP and RASP in centers with readily established laparoscopy or robotic surgery programs. The aim of this study is to review case and comparative series of RASP. We systematically reviewed published data from 2008 to 2020 on RASP and have identified 26 non-comparative and 9 comparative case series. RASP has longer operation time but less time spent in hospital and less blood loss. The outcomes of improvements in symptom score, post-voiding residual urine (PVR), postoperative PSA decline, complications, and cost are similar when compared to open and laser enucleation techniques. These outcomes position RASP as a viable MIS treatment option for patients with male LUTS needing surgical treatment for enlarged prostates. Nevertheless, prospective, randomized controlled trials (RCTs) with multicenter and large sample size are needed to confirm the findings of this systematic review.

Authors+Show Affiliations

Department of Urology, School of Medicine, Koc University, Zeytinburnu, 34010 Istanbul, Turkey.Department of Urology, School of Medicine, Koc University, Zeytinburnu, 34010 Istanbul, Turkey.Department of Urology, School of Medicine, Koc University, Zeytinburnu, 34010 Istanbul, Turkey.Department of Urology, School of Medicine, Koc University, Zeytinburnu, 34010 Istanbul, Turkey.Department of Urology, School of Medicine, Istanbul Medipol University, 34083 Istanbul, Turkey.Department of Urology, School of Medicine, Istanbul Medipol University, 34083 Istanbul, Turkey. Amsterdam University Medical Centers, 1105 Amsterdam, The Netherlands.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32527020

Citation

Kordan, Yakup, et al. "Robotic-Assisted Simple Prostatectomy: a Systematic Review." Journal of Clinical Medicine, vol. 9, no. 6, 2020.
Kordan Y, Canda AE, Köseoğlu E, et al. Robotic-Assisted Simple Prostatectomy: A Systematic Review. J Clin Med. 2020;9(6).
Kordan, Y., Canda, A. E., Köseoğlu, E., Balbay, D., Laguna, M. P., & de la Rosette, J. (2020). Robotic-Assisted Simple Prostatectomy: A Systematic Review. Journal of Clinical Medicine, 9(6). https://doi.org/10.3390/jcm9061798
Kordan Y, et al. Robotic-Assisted Simple Prostatectomy: a Systematic Review. J Clin Med. 2020 Jun 9;9(6) PubMed PMID: 32527020.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Robotic-Assisted Simple Prostatectomy: A Systematic Review. AU - Kordan,Yakup, AU - Canda,Abdullah Erdem, AU - Köseoğlu,Ersin, AU - Balbay,Derya, AU - Laguna,M Pilar, AU - de la Rosette,Jean, Y1 - 2020/06/09/ PY - 2020/05/05/received PY - 2020/05/28/revised PY - 2020/06/02/accepted PY - 2020/6/13/entrez PY - 2020/6/13/pubmed PY - 2020/6/13/medline KW - benign prostate hyperplasia KW - miminally invasive simple prostatectomy KW - minimally invasive adenomectomy KW - robotic adenomectomy KW - robotic simple prostatectomy JF - Journal of clinical medicine JO - J Clin Med VL - 9 IS - 6 N2 - Contemporary minimally invasive surgical (MIS) treatment options of patients with male Lower Urinary Tract Symptoms (LUTS) in men with prostate glands >80 mL include Holmium Laser Enucleation Prostate (HoLEP), Thulium laser VapoEnucleation Prostate (ThuVEP), and Laparoscopic (LSP) or Robotic-Assisted Simple Prostatectomy (RASP). Implementing new laser technologies is costly, and the steep learning curve of these laser techniques limit their wide range use. This promoted the use of LSP and RASP in centers with readily established laparoscopy or robotic surgery programs. The aim of this study is to review case and comparative series of RASP. We systematically reviewed published data from 2008 to 2020 on RASP and have identified 26 non-comparative and 9 comparative case series. RASP has longer operation time but less time spent in hospital and less blood loss. The outcomes of improvements in symptom score, post-voiding residual urine (PVR), postoperative PSA decline, complications, and cost are similar when compared to open and laser enucleation techniques. These outcomes position RASP as a viable MIS treatment option for patients with male LUTS needing surgical treatment for enlarged prostates. Nevertheless, prospective, randomized controlled trials (RCTs) with multicenter and large sample size are needed to confirm the findings of this systematic review. SN - 2077-0383 UR - https://www.unboundmedicine.com/medline/citation/32527020/Robotic-Assisted_Simple_Prostatectomy:_A_Systematic_Review L2 - https://www.mdpi.com/resolver?pii=jcm9061798 DB - PRIME DP - Unbound Medicine ER -
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