Laparoscopic and robot‐assisted vs open radical prostatectomy for the treatment of localized prostate cancer: a Cochrane systematic review

Ilić, Dragan; Evans, Sue; Allan, Christie; Jung, Jae Hung; Murphy, Declan; Frydenberg, Mark

doi:10.1111/bju.14062

Cited by 107 publications

(80 citation statements)

References 35 publications

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“…Because of the difficulties associated with conducting randomized trials, comparing outcomes related to RALP and RRP is challenging and studies have shown mixed results [21222324]. A Cochrane review [25], which is the most recent study on this issue, found no evidence supporting the effectiveness of RALP (in terms of oncological and functional outcome) over RRP. However, men undergoing RALP had shorter hospital stays and lower rates of blood transfusion.…”

Section: Discussionmentioning

confidence: 99%

Changes in health-related quality of life after radical prostatectomy for prostate cancer: A longitudinal cohort study in Korea

2018

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PurposeTo evaluate longitudinal changes in health-related quality of life and satisfaction after radical prostatectomy for the treatment of prostate cancer in Korean men.Materials and MethodsData from patients with localized prostate cancer who underwent radical prostatectomy between January 2012 and December 2013 were analyzed. Patients completed the Expanded Prostate Cancer Index Composite questionnaire at scheduled clinic visits (baseline and 1, 3, 6, and 12 months post-surgery).ResultsData from 211 men were evaluated. Urinary domain summary scores decreased postoperatively but improved over the 12-month follow-up period. Urinary function and incontinence had not recovered to baseline values at 12 months, whereas urinary bother and irritation/obstruction scores showed no differences from baseline at 12 months. Sexual function improved at each timepoint to 12 months but did not recover to baseline values; sexual bother was approximately 50% of baseline values at 12 months. Recovery of sexual function was significantly greater in patients who underwent robotic surgery versus those who underwent open surgery. At the end of the study period, 66.3% of patients were satisfied with the treatment they had received; multivariate analysis showed that only urinary function recovery was significantly associated with overall satisfaction.ConclusionsUrinary outcomes and sexual outcomes had not returned to baseline at 12 months. Recovery of sexual function was significantly greater in patients who underwent robotic surgery. Only recovery of urinary function was significantly associated with overall satisfaction 12 months after radical prostatectomy in this cohort of Korean men.

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Section: Discussionmentioning

confidence: 99%

Changes in health-related quality of life after radical prostatectomy for prostate cancer: A longitudinal cohort study in Korea

2018

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“…The reported benefits of RARP include less blood loss, lower blood transfusion rates, shorter hospital stay and earlier recovery from surgery compared with open prostatectomy . Nevertheless, the post‐operative course affecting QOL the most are urinary continence and sexual potency .…”

Section: Discussionmentioning

confidence: 99%

“…"No" indicates no erections, "Yes" indicates presence of erection. * represents significant difference between groups of patients with varying erection status 4 | DISCUSSIONThe reported benefits of RARP include less blood loss, lower blood transfusion rates, shorter hospital stay and earlier recovery from surgery compared with open prostatectomy 2,9,10. Nevertheless, the post-operative course affecting QOL the most are urinary continence and sexual potency 1,2.…”

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confidence: 99%

Longitudinal study on the impact of urinary continence and sexual function on health‐related quality of life among Japanese men after robot‐assisted radical prostatectomy

Ngoo

Honda

Kimura

et al. 2019

Robotics Computer Surgery

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Background The aim of this study is to investigate the impact of robotic‐assisted radical prostatectomy (RARP) on the health‐related quality of life (HRQOL). Methods We prospectively reviewed HRQOL parameters using Short‐Form Health Survey, patient self‐reporting of urinary incontinence and International Index of Erectile Function, among patients who underwent RARP between 2010 and 2016. Results Among 249 men studied, all had significantly worse HRQOL domain scores at 1 month post operatively but 24 months after surgery, all domains reached or surpassed their baseline values. Only Bodily Pain, General Health, Role‐Emotional, Mental Health domains, and Mental Health Composite were significantly improved. Improvement in urinary continence was mirrored by improvements in both Mental and Physical Component Scores. Conclusions Within a 2‐year post‐operative period, men who underwent RARP had regained their overall quality of life. The recovery of urinary continence significantly impacted the mental, physical, emotional, and social well‐being of those patients.

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“…Few studies emphasized the safety of the laparoscopic approach and its benefits, which include shorter hospital stay, reduced blood loss, and postoperative pain compared to the open counterpart [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Pain Control after Laparoscopic Radical Prostatectomy: Comparison between Unilateral Transversus Abdominis Plane Block and Wound Infiltration

et al. 2019

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Background and Objectives: To determine the efficacy of unilateral transversus abdominis plane (TAP) block versus wound local infiltration for postoperative pain following laparoscopic radical prostatectomy (LRP). Methods: Data of consecutive patients who underwent extraperitoneal LRP and received either wound infiltration or unilateral TAP block for analgesia were retrospectively analyzed. The patients were divided into 2 groups based on the technique used. We compared pain intensity scores and on-demand analgesic use both during the hospital stay and post-discharge between the 2 groups. Results: A total of 48 patients were included, 27 received unilateral TAP blocks (group 1) and 21 were managed with wound infiltration (group 2). The unilateral TAP block group showed lower median pain scores on postoperative days (POD) 1 with pain scores being 0.2 (0–4) and 0.8 (0–4), respectively (p < 0.05). On POD2, the median pain intensity was 0.9 (0–5) and 1.6 (0–6) in groups 1 and 2, respectively (p < 0.05). The median number of on-demand analgesic doses during the POD1 was 0.2 (0–2) and 0.4 (0–2) in groups 1 and 2, respectively (p = 0.19). On POD2, the patients received 0.5 (0–2) and 1.1 (0–3) on-demand doses in groups 1 and 2, respectively (p < 0.05). Conclusion: Unilateral TAP block might improve pain control more pronounced after LRP than wound infiltration.

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Laparoscopic and robot‐assisted vs open radical prostatectomy for the treatment of localized prostate cancer: a Cochrane systematic review

Cited by 107 publications

References 35 publications

Changes in health-related quality of life after radical prostatectomy for prostate cancer: A longitudinal cohort study in Korea

Changes in health-related quality of life after radical prostatectomy for prostate cancer: A longitudinal cohort study in Korea

Longitudinal study on the impact of urinary continence and sexual function on health‐related quality of life among Japanese men after robot‐assisted radical prostatectomy

Pain Control after Laparoscopic Radical Prostatectomy: Comparison between Unilateral Transversus Abdominis Plane Block and Wound Infiltration

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