Robotic-assisted surgery
Health technology assessment
|Updated
Key message
NOKC was asked to assess robot surgery for prostate cancer by Telemark hospital February 2006.
Methods
We searched for systematic reviews in Medline and CRD databases, and also for ongoing studies in the current controlled trial register. March – May 2006
Results
We included one systematic review “Laparoscopic radical prostatectomy – accelerated systematic review Australian efficacy and safety register of new interventional procedures – surgical ASERNIP , June 2005”. The review included studies published until December 2004.
No randomised controlled trials were identified that compared robotic-assisted prostatectomy with open or laparoscopic surgery. The studies included in ASERNIP 2005 had high risk of bias, due to limitations in study design and lack of standardized outcome assessment.
Given these limitations we summarized the results of the systematic review as follows:
Robotic-assisted versus open prostatectomy
- comparable operative time and rates of positive surgical margins
- reduced blood loss with robotic-assisted compared with open surgery
- fewer complications, less urinary incontinence and better sexual function with robotic-assisted surgery. komplikasjoner, mindre urininkontinens og bedre seksualfunksjon ved robotkirurgi sammenlignet med åpen prostatektomi.
These results need to be confirmed in larger prospective studies with better standardisation of outcomes.
Robotic-assisted versus laparoscopic prostatectomy