The researchers completed a meta-analysis of existing literature, including 251 research papers incorporating reviews of 65,552 open procedures, 23,687 laparoscopic procedures and 20,777 robotic procedures.
According to the report, high-volume surgeons experience no difference in outcomes between open, robotic and laparoscopic techniques. Robotic surgery reportedly has a “much shorter learning curve,” making it easier to perform for less experienced surgeons. Open prostatectomy, on the other hand, is associated with more blood loss and longer recovery, and laparoscopy takes more time to learn and may be difficult for less-skilled surgeons.
The disadvantage to robotic surgery is the cost; the robot is very expensive, the researchers said. Robotic procedures may also be inappropriate for certain patients, including those with cardiac or pulmonary disease.
The study found that complications were most common with the open approach, intermediate for the laparoscopic group and lowest for the robotic group. The surgeons who performed the greatest number of procedures (sometimes in excess of 1,000) also tended to have better outcomes.
Related Articles on Urology:
Urological Catheters Market to Reach $3B by 2017
Urologist on the Move: Dr. Clay Lyddane Joins Kansas Via Christi Clinic
North Carolina Urology Practice Offers Photo Selective Laser Vaporization Prostatectomy
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.