Title:Robot-Assisted Laparoscopic Radical Prostatectomy : A systematic review of randomized clinical trial

Background: Robotic systems have recently been introduced in an attempt to reduce the difficulty in performing complex laparoscopic urologic procedures, particularly for nonlaparoscopic surgeons. The first robotic-assisted radical prostatectomy was performed in May 2000. Robotic-assisted laparoscopic prostatectomy(RALP) is now in widespread and rapidly expanding use. For this reason, we decided to perform a systematic review of this very interesting oncologic field .Search Method: The relevant empirical literature was identified by searching several electronic databases: PubMed and NLM Gateway (for MEDLINE), Institute of Scientific Information (ISI), SCOPUS and EMBASE , between January 2000 to May 2019 The search was performed by cross-referencing the words Robotic assistance , telerobotic assistance, Prostatectomy or etc . The analyses were conducted with SPSS software, version 23.0. Result : We identified 71 manuscripts. Eleven papers focused on surgical technique, and 35 manuscripts reported clinical, pathologic, and/or follow-up data. Seven studies included clinical data concerning surgical series with fewer than 10 patients, whereas the remaining 26 seriesre ported 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

کلیدواژه ها:

video-assisted urologic surgery ، physician assistant ، Robotic surgery