Comparative effectiveness of robotic and open radical prostatectomy

Rodrigo Rodrigues Pessoa, Paul Maroni, Janet Kukreja, Simon P. Kim

Abstract

Radical prostatectomy (RP) has undergone a remarkable transformation from open to minimally- invasive surgery over the last two decades. However, it is important to recognize there is still conflicting evidence regarding key outcomes. We aimed to summarize current literature on comparative effectiveness of robotic and open RP for key outcomes including oncologic results, health-related quality of life (HRQOL) measures, safety and postoperative complications, and healthcare costs. The bulk of the paper will discuss and interpret limitations of current data. Finally, we will also highlight future directions of both surgical approaches and its potential impact on health care delivery.