It’s the surgeon not the type of surgery!


Bivalaqua and colleagues from Johns Hopkins Medical Center have reviewed progress in functional and oncologic outcomes after prostatectomy made during the past few decades.

They note that, as a consequence of advances in technology and surgical technique, minimally invasive prostate surgery has become a reality, and that a patient diagnosed with clinically localized prostate cancer has more surgical treatment options than in the past, including open, laparoscopic and robot-assisted laparoscopic radical prostatectomy. They also observe that advantages and disadvantages can be documented for each type of surgery and lead to subtle differences in the technical execution of the procedure.

However, the authors go on to state that the evidence from centers of excellence and from experienced surgeons demonstrates that outcomes following both laparoscopic and robotic-assisted laparoscopic radical prostatectomy appear to be comparable to outcomes achieved in open radical retropubic prostatectomy series. They then add that individual surgeon skill, experience, and clinical judgment are likely to be stronger predictors of outcome than the technique chosen. (This is a point that has been made regularly by The “New” Prostate Cancer InfoLink over the past 12 months.)

The authors carefully point out that learning curves, oncologic outcomes, and cost-efficacy remain important considerations in the expansion of the use of minimally-invasive prostate surgery. However, they also point out that the continuing understanding of the periprostatic anatomy and further modification of surgical technique will result in continued improvement in functional outcomes and oncological control for patients undergoing radical prostatectomy, whether by open or minimally invasive surgery.

One Response

  1. Hi.

    I see this blog coming up regularly on WordPress prostate cancer blogs.

    Some of your readers might want to have a look at my narrative on having a prostatectomy.

    Regards

    Jim Tucker

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