Margin control in robotic and laparoscopic prostatectomy: what are the REAL outcomes?
Our institutional experience and relevant literature on surgical margin rates with laparoscopic and robotic-assisted radical prostatectomy are summarized. Differences in surgical margins were assessed between patients undergoing open or robotic-assisted prostatectomy by experienced surgeons, and placed in context with a review of the literature. Surgical margins and location were similar between patients undergoing open or robotic prostatectomy. Pathologic stage, baseline prostate-specific antigen, and Gleason score all impacted the risk of a positive surgical margin. Experienced surgeons can achieve comparable outcomes in terms of surgical margins. Disease burden plays a significant role in positive surgical margins.
Weizer
Alon Z
AZ
Divisions of Urologic Oncology and Minimally Invasive Surgery, Department of Urology, University of Michigan, Ann Arbor, MI 48109, USA. aweizer@umich.edu
Strope
Seth
S
Wood
David P
DP
D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data; D008297:Male; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000473:pathology* / Q000601:surgery*; D012371:Robotics / Q000706:statistics & numerical data; D016896:Treatment Outcome