title: Current role of salvage robotic-assisted laparoscopic prostatectomy.
abstract: OBJECTIVE
  Salvage Robotic-Assisted Laparoscopic Prostatectomy (sRALP) is a treatment option for biochemical recurrence (BCR) in prostate cancer. It is a new and presently uncommonly performed procedure, which may be technically challenging. We aim to summarise the current literature regarding sRALP with specific reference to patient selection, complications and peri-operative functional and oncological outcomes.
  
  
  METHODS
  A comprehensive and critical review of all peer-reviewed publications regarding sRALP.
  
  
  RESULTS
  Within the body of literature, we identified six low-volume case-series studies analysing outcomes of sRALP. Overall, peri-operative outcomes were encouraging with low complication rates and estimated blood loss (EBL) equivocal to open and laparoscopic salvage radical prostatectomy (sRP). Long-term follow-up for functional and oncological outcomes was limited. From the limited follow-up data, the current sRALP studies show similar BCR compared to large-volume open sRP series. Potency outcomes were poor post-sRALP.
  
  
  CONCLUSIONS
  Salvage Robotic-Assisted Laparoscopic Prostatectomy is a technically feasible operation with a low risk of significant associated complications. Robotic technology can aid the surgeon in salvage prostatectomy. Data on functional and oncological outcomes lack long-term information but initial results are encouraging. Larger series with longer follow-up periods are necessary to draw significant conclusions about the efficacy of sRALP.
authors: damienmb@unimelb.edu.au
authors: D
authors: D
authors: Wetherell
authors: D
authors: D
authors: Bolton
authors: L
authors: L
authors: Kavanagh
authors: M
authors: M
authors: Perera
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D010535:Laparoscopy / Q000009:adverse effects / Q000639:trends*; D008297:Male; D018579:Patient Selection; D011183:Postoperative Complications / Q000453:epidemiology; D011468:Prostatectomy / Q000009:adverse effects / Q000639:trends*; D011471:Prostatic Neoplasms / Q000601:surgery*; D012371:Robotics / Q000639:trends*; D016879:Salvage Therapy / Q000009:adverse effects / Q000639:trends*; D016896:Treatment Outcome