Editorial Comment

Abstract

Over the last decade, robot-assisted radical prostatectomy (RARP) has become the most commonly performed surgery for men with localized prostate cancer. By 2013, RARP has been estimated to be approximately 80% of all surgeries for prostate cancer. 1 Skarecky D.W. Robotic-assisted radical prostatectomy after the first decade: surgical evolution or new paradigm. ISRN Urol. 2013; 2013: 1-22 Crossref Google Scholar Many critics have argued that the major reason for the rapid dissemination of RARP is the aggressive marketing. Indeed, several high profile litigations have recently been filed in various jurisdictions because of poor outcomes after RARP. Perioperative Outcomes for Laparoscopic and Robotic Compared With Open Prostatectomy Using the National Surgical Quality Improvement Program (NSQIP) DatabaseUrologyVol. 82Issue 3PreviewTo examine contemporary outcomes of minimally invasive radical prostatectomy (MIRP) compared with open prostatectomy, using a national, prospective perioperative database reflecting diverse practice settings. Full-Text PDF ReplyUrologyVol. 82Issue 3PreviewThere is no question that the advancement of robotic and laparoscopic techniques has contributed to the dominance of minimally invasive surgery for prostate cancer. Minimally invasive radical prostatectomy (MIRP) was adopted rapidly, before large population-based studies could be performed. We sought to explore a unique dataset with comprehensive data on complications and mortality that encompasses the contemporary time period over which MIRP has been adopted. Although the National Surgical Quality Improvement Program cannot provide data on oncologic outcomes, it is highly accurate in predicting postoperative morbidity and mortality. Full-Text PDF