The age of robotic surgery - Is laparoscopy dead?

Arab Journal of Urology
Hartwig SchwaiboldChristian Bach

Abstract

Robot-assisted laparoscopic surgery (RALS) has become a widely used technology in urology. Urological procedures that are now being routinely performed robotically are: radical prostatectomy (RP), radical cystectomy (RC), renal procedures - mainly partial nephrectomy (PN), and pyeloplasty, as well as ureteric re-implantation and adrenalectomy. This non-systematic review of the literature examines the effectiveness of RALS compared with conventional laparoscopic surgery for the most relevant urological procedures. For robot-assisted RP there seems to be an advantage in terms of continence and potency over laparoscopy. Robot-assisted RC seems equal in terms of oncological outcome but with lower complication rates; however, the effect of intracorporeal urinary diversion has hardly been examined. Robotic PN has proven safe and is most likely superior to conventional laparoscopy, whereas there does not seem to be a real advantage for the robot in radical nephrectomy. For reconstructive procedures, e.g. pyeloplasty and ureteric re-implantation, there seems to be advantages in terms of operating time. We found substantial, albeit mostly low-quality evidence, that robotic operations can have better outcomes than procedures performed la...Continue Reading

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Citations

Feb 4, 2021·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Weijie ZhuLiqun Zhou

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