Department of Urologic Surgery, Vanderbilt University Medical Center, A1302/Medical Center North, 1161 21st Avenue, South, Nashville, TN 37232, USA.
Department of Urology, University of Oklahoma College of Medicine, 920 Stanton L. Young Boulevard, Oklahoma City, OK 73104, USA.
Urol Clin North Am. 2014 Nov;41(4):493-502. doi: 10.1016/j.ucl.2014.07.004. Epub 2014 Aug 19.
Robotic-assisted laparoscopic radical prostatectomy (RALP) has enjoyed rapid adoption over the past decade without rigorous clinical studies demonstrating superior clinical outcomes over radical retropubic prostatectomy (RRP). This article reviews the literature comparing RALP and RRP with regard to oncologic, perioperative, and functional outcomes, summarizing evidence for and against the superiority of RALP.
机器人辅助腹腔镜根治性前列腺切除术(RALP)在过去十年中得到了迅速采用,而没有严格的临床研究证明其在临床结局方面优于经耻骨后前列腺切除术(RRP)。本文综述了比较 RALP 和 RRP 的肿瘤学、围手术期和功能结局的文献,总结了 RALP 优越性的证据和反对意见。