Unit:
ΠΜΣ Ελάχιστα Επεμβατική Χειρουργική, Ρομποτική Χειρουργική & ΤηλεχειρουργικήLibrary of the School of Health Sciences
Author:
Σκαρμούτσος Ιωάννης
Supervisors info:
Αν. Καθ. Γκρινιάτσος Ι,
Original Title:
Blood transfusion for robotic-assisted versus open prostatectomy. A systematic review.
Translated title:
Μετάγγιση αίματος για ρομποτική υποβοηθούμενη συγκριτικά με ανοιχτή προστατεκτομή. Μια συστηματική κριτική.
Summary:
Objective
To review the literature available on robot-assisted laparoscopic radical
prostatectomy (RALP).
Methods
A literature search was performed using EMBASE, MEDLINE, and Web Science
databases through a “free text” protocol, including the following terms:
robotic radical prostatectomy, da Vinci, and radical prostatectomy. Three of
the authors separately reviewed the records to select the papers relevant for
the topic of the review, with any discrepancies solved by open discussion. The
selected articles were recorded in an electronic database and analysed by
version 13.0 SPSS software.
Results
We identified 71 manuscripts. Eleven papers focused on surgical technique, and
35 manuscripts reported clinical, pathologic, and/or follow-up dataSeven
studies included clinical data concerning surgical series with fewer than 10
patients, whereas the remaining 26 series reported larger surgical series of
RALP. RALP turned out to be a feasible procedure, with limited blood loss,
favourable complication rates, and short hospital stays. Positive surgical
margin rates decreased with the surgeon's experience and technique improving,
reaching percentages similar to those of retropubic and laparoscopic series.
The available oncologic data are only preliminary. Especially interesting are
the data on postoperative continence rates, whereas results on potency,
although promising, are based only on a limited number of patients and have to
be considered as incomplete and premature.
Conclusion
Literature showed that RALP had a short learning curve and interesting
postoperative results, especially with regard to continence recovery. The
available data on recovery of erectile function and oncologic follow-up are
still incomplete.
Keywords:
Robotics, Open, Prostatectomy, Transfusion, Robot-assisted laparoscopic radical prostatectomy
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