Laparoscopic simple prostatectomy versus robot-assisted simple prostatectomy for large benign prostatic hyperplasia: a systematic review and meta-analysis of comparative trials

Retzius-sparing Robot-assisted Simple Prostatectomy: Perioperative and Short-term Functional Outcomes Assessed via Validated Questionnaires

“…Conversely, it has been suggested that RASP and LSP are associated with similar outcomes, although LSP needs considerable laparoscopic expertise, which is unlikely to be broadly available owing to the diffusion of robotic platforms [2] . EEP was associated with better LOS, catheterisation times, and transfusion rates in comparison to RASP [2] , [3] , [4] . Regardless of the comparison with EEP, which is beyond the scope of the present study, RASP could be an attractive surgical technique for extremely large glands, in cases with concomitant conditions such as bladder stones and diverticula, and in cases for which EEP techniques are not unavailable [4] , [16] .…”

“…Specifically, in the case of prostates >80 ml, open SP, HoLEP, thulium enucleation, and bipolar enucleation are considered appropriate options for treatment according to the EAU guidelines [1] . Several systematic reviews and meta-analyses have compared the different surgical techniques for treatment of large adenomas, including RASP, open SP, LSP, and EEP techniques [2] , [3] , [4] . Overall, the data available suggest possible advantages with RASP over open SP regarding postoperative complication rates, LOS, EBL, and transfusion rates.…”

“…Minimally invasive SP techniques, including pure laparoscopic SP (LSP) and, more recently, robot-assisted SP (RASP), have increased in popularity. A plethora of systematic reviews and meta-analyses have compared RASP to open SP or LSP and different endoscopic enucleation of the prostate (EEP) techniques [2] , [3] , [4] . Overall, the data suggest possible advantages for RASP over open SP in terms of the postoperative complication rate, length of stay (LOS), estimated blood loss (EBL), and transfusion rates.…”

A Comparison of Clinical Outcomes of Robot-Assisted and Conventional Laparoscopic Surgery

“…Eight reviews were included that researched RALS and CLS prostatectomy. This included six meta-analyses [37,59,[74][75][76][77] and two systematic reviews [27,67]. The corrected covered area was slight (3.1%).…”

“…Three meta-analyses specifically examined radical prostatectomy as a treatment for prostate cancer [59,74,75]. Three other meta-analyses focused on simple prostatectomy for the treatment of large benign prostatic hyperplasia [27,76,77]. In two studies, no additional information was provided on the indication of surgery and the specific surgical procedures executed [37,67].…”