ORP vs. RALP re-visited

A newly published report in The Lancet Oncology has pretty much finally confirmed what many of us have been assuming for a long time now: … READ MORE …

Functional outcomes for patients after differing types of radical prostatectomy

A newly published paper in the British Journal of Cancer has reported on  patient-reported functional outcomes following robot-assisted laparoscopic (RALP), non-robot-assisted laparoscopic (LRP), and open (ORP) forms of radical prostatectomy. … READ MORE …

RALP vs. open surgery: “similar functional outcomes at 12 weeks”

Back in July we reported the initial publication on line of the results of a randomized Phase III trial by Yaxley et al. that compared the initial outcomes of open radical retropubic prostatectomy to robot-assisted laparoscopic prostatectomy (RALP). This paper has now been published by The Lancet along with two sets of editorial commentary. … READ MORE …

RALP vs. ORP: data from a randomized Phase III clinical trial

A newly published paper in The Lancet has provided us with data from a randomized, Phase III, clinical trial of open radical retropubic prostatecomy (ORP) vs. robot-assisted laparoscopic prostatectomy (RALP) in the surgical treatment of localized prostate cancer. … READ MORE …

The end to WHAT controversy?

In an extraordinary editorial in the July issue of the Journal of Urology, Dr. Michael Koch of the University of Indiana School of Medicine makes the following statement: … READ MORE …

Of ORPs and RALPs: data from the Victorian Prostate Cancer Registry

Data from just over 2,000 prostate cancer patients in the Victorian Prostate Cancer Registry (VPCR, from the State of Victoria, Australia) suggest some difference in outcomes between men receiving open and robot-assisted laparoscopic surgery for localized prostate cancer. … READ MORE …

Risk for conversion from minimally invasive to open surgery for prostate cancer patients

A new paper in the Journal of Urology provides us with a detailed assessment of the likelihood of and the risks associated with the need to convert from a minimally invasive (e.g., robot-assisted) to an open surgical procedure during the course of a radical prostatectomy. … READ MORE …

Robot-assisted versus open radical cystectomy: no clear signs of immediate benefit

Many readers of this blog have probably heard or read the reports like this one on the CBS Evening News or this one on the Reuters web site that there were no significant short-term (perioperative) differences in outcome between robot-assisted radical cystectomy (complete removal of the bladder) and the older open surgical procedure. … READ MORE …

The surgical learning curve and post-RALP outcomes over time

Two new and quite separate papers offer rather different perspectives on the value of robot-assisted laparoscopic prostatectomy (RALP) as a first-line treatment for the management of localized prostate cancer. … READ MORE …

Alan Partin interviewed on robot-assisted vs. “open” surgery for prostate cancer

Many readers may be interested in reading an interview given by Dr. Alan Partin of Johns Hopkins on the relative merits of robot-assisted and traditional (“open”) methods of radical prostatectomy. Dr. Partin is highly experienced in the use of both techniques.

ORRP vs. RALP in a large cohort of high-risk patients with localized prostate cancer

A relatively large, retrospective, single-institution cohort study appears to show that oncologic outcomes after robot-assisted laparoscopic prostatectomy (RALP) are comparable to those achieved after open retropubic radical prostatectomy (ORRP) among high-risk patients when the operations are carried out by appropriately skilled and experienced surgeons. … READ MORE …

Different types of surgery for high-risk disease … outcomes at Johns Hopkins

In the context of the current question about “problems” with the da Vinci robot (previously addressed today), we have some new data from Johns Hopkins on the outcomes of men with high-risk, localized prostate cancer, treated using open, retropubic (ORP), non-robot-assisted laparoscopic (LRP), and robot-assisted laparoscopic (RALP) forms of radical prostatectomy. … READ MORE …

Short-term (perioperative) outcomes of RALP compared to open surgery in 2008-09

A new study available on line as a full-text article in European Urology has provided a retrospective analysis of the perioperative outcomes of men undergoing radical prostatectomy for localized prostate cancer in a 15-month period between October 2008 and December 2009 at 20 percent of the community hospitals in the USA (including public hospitals and academic medical centers). … READ MORE …

Annual volume of radical prostatectomies in US doubled between 2003 and 2009

In order to initially gain or maintain board certification, American urologists must (among other things) submit case logs to the American Board of Urology. A new study, published recently in the Journal of Urology, has used data from these case logs to assess current trends regarding the use of robot-assisted laparoscopic and open radical prostatectomy. … READ MORE …

RALP not associated with better continence, sexual function after prostate cancer surgery

The “New” Prostate Cancer InfoLink has long been pointing out the lack of any evidence that men who are treated with robot-assisted laparoscopic prostatectomy (RALP) will have better outcomes with respect to continence and sexual function than men who elect to have the older, “open” form of radical prostatectomy. … READ MORE …