title: [Robotic-assisted radical prostatectomy].
abstract: BACKGROUND
  Robot-assisted laparoscopic radical prostatectomy (RALP) has been rapidly adopted as a standard approach for surgical treatment of organ-confined prostate cancer. Despite additional costs, RALP seems to provide better functional and oncological outcomes and less blood loss compared to open radical prostatectomy (ORP). However, prospective randomized studies are still missing.
  
  
  OBJECTIVE
  Based on the current literature, this review reports about the role of RALP in prostate cancer treatment. Its functional and oncologic outcomes as well as complication rates are compared to ORP. Particularly, the role of RALP in nonorgan-confined tumors will be discussed.
  
  
  RESULTS
  Based on the current literature, RALP provides better continence and potency rates as compared to ORP. Moreover, the incidence of positive surgical margins seems to be reduced. However, there is conflicting data regarding the role of RALP in nonorgan-confined prostate cancer. Regarding long-term oncologic outcomes, RALP seems to be comparable to ORP.
authors.affiliation: Klinik und Poliklinik für Urologie, Universitätsmedizin Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland, christian.thomas@unimedizin-mainz.de.
authors.forename: C
authors.initials: C
authors.lastname: Thomas
authors.forename: A
authors.initials: A
authors.lastname: Neisius
authors.forename: F C
authors.initials: FC
authors.lastname: Roos
authors.forename: C
authors.initials: C
authors.lastname: Hampel
authors.forename: J W
authors.initials: JW
authors.lastname: Thüroff
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D007172:Erectile Dysfunction / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D059351:Organ Sparing Treatments / Q000379:methods; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000150:complications / Q000601:surgery*; D020127:Recovery of Function; D012371:Robotics / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome