Different studies will naturally result in slightly different outcomes…taken broadly, however, there is no compelling data to suggest that RALP is better or safer than open surgery
If you consider these to be benefits, however, there are several differences in the use of RALP as compared to open surgery for treatment of localized prostate cancer. <span style="mso-spacerun: yes"> Less blood loss during surgery, a shorter hospital stay, faster post-surgical recovery, and less need for post-surgical pain management.
Less blood loss during surgery I buy but, while they are frequently claimed by RALP proponents, I do not
believe there is conclusive evidence for shorter hospital stay, faster post-surgical recovery, or less need for post-surgical pain management. Here
, for instance, is a recent study from Hopkins discussing changes in length-of-stay over the last 20 years that concludes that "RALRP appears to result in a higher proportion of 'off-pathway' [greater than 3 day stay] patients, primarily due to ileus, compared with RRP and LRP"
seen some evidence of faster return to continence with robotic but, again, I don't know if that is conclusive.
Jan '13: PSA 1.23, small nodule on DRE (1st screening @ age 40)
Mar '13: Biopsy 2 of 12 cores GS 3+3: rt mid 10% and rt apex 20% w/ PNI+ Stage cT2a
Apr '13: Biopsy confirmed by Dr. Epstein @ Hopkins
open RRP by Dr. Burnett @ Hopkins. Both nerves spared.
Final Path: GS 3+3, organ confined (tumor extent moderate), SV and 11 nodes all negative (pT2a), negative margins!
PSA: 0.01 @ 6 wks
Post Edited (njs) : 7/30/2013 6:59:28 PM (GMT-6)