The age of robotic surgery - Is laparoscopy dead?

摘要: Abstract Introduction Robot-assisted laparoscopic surgery (RALS) has become a widely used technology in urology. Urological procedures that are now being routinely performed robotically are: radical prostatectomy (RP), cystectomy (RC), renal – mainly partial nephrectomy (PN), and pyeloplasty, as well ureteric re-implantation adrenalectomy. Methods This non-systematic review of the literature examines effectiveness RALS compared with conventional for most relevant urological procedures. Results For robot-assisted RP there seems to be an advantage terms continence potency over laparoscopy. RC equal oncological outcome but lower complication rates; however, effect intracorporeal urinary diversion hardly been examined. Robotic PN proven safe is likely superior laparoscopy, whereas does not seem real robot nephrectomy. reconstructive procedures, e.g. pyeloplasty re-implantation, advantages operating time. Conclusions We found substantial, albeit mostly low-quality evidence, robotic operations can have better outcomes than laparoscopically. However, light significant costs because high-quality data from prospective randomised trials still missing, laparoscopy certainly ‘dead’ yet.