Clinical Edge

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Cochrane on Surgical Approaches for Prostatectomy

Cochrane; 2017 Sep 12; Ilic, Evans, Allan, et al

Patients receiving laparoscopic radical prostatectomy (LRP) or robotic-assisted radical prostatectomy (RARP) experience less near-term postoperative pain and shorter hospitalizations than those undergoing open radical prostatectomy (ORP), according to a Cochrane review of 2 randomized controlled trials involving 446 men. There appear to be no other differences, however. Among the findings:

  • No differences in prostate cancer-related mortality, recurrence, or overall death rates were seen.
  • Men’s quality of life relative to urinary and sexual function was comparable.
  • Postoperative surgical complications also appeared to be similar.
  • Pain 1 to 7 days after surgery appeared to be lessened with LRP or RARP, but no difference in this regard was seen at 12 weeks.
  • Men who had LRP or RARP were more likely to have shorter hospital stays and require fewer blood transfusions.

Citation:

Ilic D, Evans S, Allan C, Jung J, Murphy D, Frydenberg M. Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer. Cochrane Database of Systematic Reviews. 2017, Issue 9. Art. No.: CD009625. doi:10.1002/14651858.CD009625.pub2.