World J Urol. 2013 Jun;31(3):463-9. doi: 10.1007/s00345-013-1025-3. Epub 2013 Jan 18.
Salvage Robotic-Assisted Laparoscopic Prostatectomy (sRALP) is a treatment option for biochemical recurrence (BCR) in prostate cancer. It is a new and presently uncommonly performed procedure, which may be technically challenging. We aim to summarise the current literature regarding sRALP with specific reference to patient selection, complications and peri-operative functional and oncological outcomes.
A comprehensive and critical review of all peer-reviewed publications regarding sRALP.
Within the body of literature, we identified six low-volume case-series studies analysing outcomes of sRALP. Overall, peri-operative outcomes were encouraging with low complication rates and estimated blood loss (EBL) equivocal to open and laparoscopic salvage radical prostatectomy (sRP). Long-term follow-up for functional and oncological outcomes was limited. From the limited follow-up data, the current sRALP studies show similar BCR compared to large-volume open sRP series. Potency outcomes were poor post-sRALP.
Salvage Robotic-Assisted Laparoscopic Prostatectomy is a technically feasible operation with a low risk of significant associated complications. Robotic technology can aid the surgeon in salvage prostatectomy. Data on functional and oncological outcomes lack long-term information but initial results are encouraging. Larger series with longer follow-up periods are necessary to draw significant conclusions about the efficacy of sRALP.
挽救性机器人辅助腹腔镜前列腺切除术（sRALP）是前列腺癌生化复发（BCR）的一种治疗选择。它是一种新的、目前不太常见的手术，可能具有技术挑战性。我们旨在总结目前关于 sRALP 的文献，特别参考患者选择、并发症以及围手术期功能和肿瘤学结果。
对所有关于 sRALP 的同行评审出版物进行全面和批判性的回顾。
在文献中，我们确定了六项低容量病例系列研究，分析了 sRALP 的结果。总体而言，围手术期结果令人鼓舞，并发症发生率低，估计失血量（EBL）与开放性和腹腔镜挽救性根治性前列腺切除术（sRP）相当。功能和肿瘤学结果的长期随访有限。从有限的随访数据来看，目前的 sRALP 研究显示与大容量开放性 sRP 系列相比，BCR 相似。sRALP 后勃起功能不良。
挽救性机器人辅助腹腔镜前列腺切除术是一种技术可行的手术，并发症风险低。机器人技术可以帮助外科医生进行挽救性前列腺切除术。功能和肿瘤学结果的数据缺乏长期信息，但初步结果令人鼓舞。需要更大的系列和更长的随访期来得出关于 sRALP 疗效的重要结论。
