ROBOTIC SURGERY VERSUS LAPAROSCOPIC SURGERY IN PROSTATECTOMY

Abstract

Introduction: Prostate cancer is one of the most common forms of cancer among men, and its incidence increases with age. Robotic and videolaparoscopic surgery are minimally invasive techniques used in prostatectomy to remove the prostate in patients with localized prostate cancer. Objectives: identify which of the techniques is most effective and which of them guarantees the greatest benefit to the patient. Materials and methods: This is an integrative review, in which the guiding question was “Is robot-assisted radical prostatectomy superior to videolaparoscopic radical prostatectomy?”. The search for articles took place in the main databases (PubMed and Scielo) using the terms “difference”, “robotic”, “laparoscopic”, “surgery” and “prostatectomy” combined with each other using Boolean operators. Results and discussion: In recent decades, robot-assisted radical prostatectomy (RARP) has gained widespread acceptance in urological surgical practice. This technique aims to achieve less perioperative morbidity, less intraoperative bleeding, and faster recovery time. The main procedural advantages of using the robotic system are improved dexterity, its precision, three-dimensional imaging and its ergonomic design for surgeons. Conclusion: The superiority of robotic-assisted radical prostatectomy over laparoscopic radical prostatectomy remains controversial. Although PRAR has been known to have many advantages in terms of functional and oncological outcomes, the cost of medical supplies, total hospitalization cost, and personal expenses were higher.