Robotic-assisted simple prostatectomy versus open simple prostatectomy: a New York statewide analysis of early adoption and outcomes between 2009 and 2017

Ravivarapu, Krishna T.; Omidele, Olamide; Pfail, John; Tomer, Nir; Small, Alexander; Palese, Michael

doi:10.1007/s11701-020-01152-w

Cited by 11 publications

(8 citation statements)

References 29 publications

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“…The results showed that RASP significantly reduced the LOS. This is in agreement with the results of recent studies, including two large studies that further validate our results ( 5 , 14 , 15 , 22 , 24 ). There are many factors that affect the LOS, including surgical experience, complications, indwelling CT, and ASA classification ( 5 ).…”

Section: Discussionsupporting

confidence: 94%

Robotic-Assisted vs. Open Simple Prostatectomy for Large Prostates: A Meta-Analysis

Xia

Yang

et al. 2021

Front. Surg.

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Purpose: To compare the efficacy and safety of robotic-assisted simple prostatectomy and open simple prostatectomy for large benign prostatic hyperplasia.Methods: We systematically searched the Cochrane Library, PubMed, Embase, and Science databases for studies published through December 2020. Controlled trials on RASP and OSP for large prostates were included. The meta-analysis was conducted with the Review Manager 5.4 software.Results: A total of seven studies with 3,777 patients were included in the analysis. There were no significant differences in IPSS (WMD, 0.72; 95%CI: −0.31, 1.76; P = 0.17), QoL (WMD, 0.00; 95%CI: −0.39, 0.39; P > 0.99), Qmax (WMD, 1.88; 95% CI: −1.15, 4.91; P = 0.22), or PVR (WMD, −10.48; 95%CI: −25.13, 4.17; P = 0.16) among patients undergoing RASP and OSP. However, compared with patients who underwent OSP, patients who underwent RASP had a shorter LOS (WMD, −2.83; 95%CI: −3.68, −1.98; P < 0.001), less EBL (WMD, −304.68; 95% CI: −432.91, −176.44; P < 0.001), a shorter CT (WMD, −2.61; 95%CI: −3.94, −1.29; P < 0.001), and fewer overall complications (OR, 0.30; 95% CI: 0.16, 0.57; P < 0.001). Nevertheless, RASP was associated with a longer OT (WMD, 59.69, 95% CI: 49.40, 69.98; P < 0.001).Conclusion: The results of the current study demonstrated that RASP provided similar efficacy to those of OSP in the treatment of large prostate, while maintaining better security. Our findings indicate that RASP is a feasible and effective alternative to OSP.

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Section: Discussionsupporting

confidence: 94%

Robotic-Assisted vs. Open Simple Prostatectomy for Large Prostates: A Meta-Analysis

Xia

Yang

et al. 2021

Front. Surg.

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“…Alternative treatments (open or robotic assisted simple prostatectomy(RASP)) for large glands (≥175mL) are associated with prolonged length of stay (LOS) and postoperative catheterization 3 . Despite technology (robotic platform) and technique advances (retropubic, transvesical, singleport) in the management of large gland simple prostatectomy, the majority remain overnight with average LOS ranging 1.05-5 days and catheterization 3.5-8.1 days [4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

Same-Day Discharge Following Holmium Laser Enucleation in Patients Assessed to Have Large Gland Prostates (≥175 cc)

Assmus

Large

Lee

et al. 2021

Journal of Endourology

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“…Full text of the remaining 28 papers was evaluated per eligibility and 20 studies were excluded (3 letters to editor, 15 reviews, 2 non-English papers). Finally, 8 studies were accepted and included in the quantitative analysis [ 7 8 9 10 11 12 13 14 ]. Seven studies were retrospective [ 7 8 9 10 11 13 14 ] and one was prospective [ 12 ].…”

Section: Resultsmentioning

confidence: 99%

“…Finally, 8 studies were accepted and included in the quantitative analysis [ 7 8 9 10 11 12 13 14 ]. Seven studies were retrospective [ 7 8 9 10 11 13 14 ] and one was prospective [ 12 ]. All were non-randomized.…”

Section: Resultsmentioning

confidence: 99%

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Robotic-assisted versus open simple prostatectomy: Results from a systematic review and meta-analysis of comparative studies

et al. 2021

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Robotic-assisted simple prostatectomy versus open simple prostatectomy: a New York statewide analysis of early adoption and outcomes between 2009 and 2017

Cited by 11 publications

References 29 publications

Robotic-Assisted vs. Open Simple Prostatectomy for Large Prostates: A Meta-Analysis

Robotic-Assisted vs. Open Simple Prostatectomy for Large Prostates: A Meta-Analysis

Same-Day Discharge Following Holmium Laser Enucleation in Patients Assessed to Have Large Gland Prostates (≥175 cc)

Robotic-assisted versus open simple prostatectomy: Results from a systematic review and meta-analysis of comparative studies

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