Extraperitoneal Robot-Assisted Radical Prostatectomy: Indications, Technique and Outcomes
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Purpose of Review
Extraperitoneal robot-assisted radical prostatectomy (eRARP) is an alternative to the more commonly employed transperitoneal RARP (tRARP) for treatment of clinically localized prostate cancer. The purpose of this review is to discuss indications in which eRARP would be a more favorable approach in comparison to tRARP. In addition, we will discuss the safety and technique of eRARP.
Recently published work has highlighted the outcomes and safety of eRARP in comparison to tRARP; specifically that eRARP is not inferior to tRARP. In addition, eRARP may be preferred in certain circumstances. For example, Ludwig et al. recently discussed the concomitant repair of inguinal hernia during eRARP.
Extraperitoneal RARP is a safe and effective alternative to tRARP. With previous knowledge and experience with tRARP, urologists can adapt the extraperitoneal approach without difficulty. This approach is useful for specific situations in which tRARP may be challenging.
KeywordsProstate cancer Extraperitoneal RARP Robotic prostatectomy
Compliance with Ethical Standards
Conflict of Interest
Alice Semerjian and Christian P. Pavlovich each declare no potential conflicts of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 2.•• Dal Moro F, Crestabu A, Valotto C, et al. Anesthesiologic effects of transperitoneal versus extraperitoneal approach during robot-assisted radical prostatectomy: results of a prospective randomized study. Int Braz J Urol. 2015;41:466–72. This is a rigorous look at the anesthetic effects of the various robotic approaches to RP, and confirms and quantifies what practitioners of each approach have anecdotally noted CrossRefPubMedGoogle Scholar
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