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Salvage robotic assisted laparoscopic radical prostatectomy: indications and outcomes

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Abstract

Objectives

Salvage robotic assisted laparoscopic radical prostatectomy (SRALP) has now become a feasible alternative to open prostatectomy in experienced hands. Herein we review the urologic literature for the indications and outcomes of SRALP.

Methods

A comprehensive review of the peer reviewed literature was performed for reported cases of salvage robotic and open prostatectomy, with emphasis being on comparing oncologic outcomes.

Results

Salvage prostatectomy, whether open or robotic, is a viable alternative for treatment of recurrent, localized, non-metastatic prostate cancer after failed primary radiotherapy. Although few reports of salvage robotic prostatectomy have been published with limited long-term follow-up, initial oncologic results seem at least comparable to the salvage open prostatectomy series. SRALP should be performed by centers with a dedicated and well experienced robotic urologic oncology program.

Conclusions

SRALP is a feasible surgical treatment option for patients with recurrence after primary radiotherapy with preliminary oncologic outcomes comparable to the open approach. Further long-term follow-up is needed to validate these results.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Division of Urology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 20015, USA

    Stephen B. Williams & Jim C. Hu

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  1. Stephen B. Williams
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  2. Jim C. Hu
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Correspondence to Stephen B. Williams.

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Williams, S.B., Hu, J.C. Salvage robotic assisted laparoscopic radical prostatectomy: indications and outcomes. World J Urol 31, 431–434 (2013). https://doi.org/10.1007/s00345-010-0619-2

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  • DOI: https://doi.org/10.1007/s00345-010-0619-2

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