Open Versus Minimally Invasive Radical Prostatectomy

[摘要] In 1904, Hugh Hampton Young performed the first radical prostatectomy using a perineal approach.1 Since that time, there has been a dramatic evolution in radical prostatectomy technique, including the development of the modern anatomic approach to radical retropubic prostatectomy (RRP) and the more recent introduction of “minimally invasive” radical prostatectomy (MIRP) techniques.2,3 Despite a tremendous expansion in the use of robotic prostatectomy in the past few years, no randomized trial has compared MIRP with RRP, and long-term outcomes data are not yet available to validate the robotic approach. In the meantime, observational studies may provide some insight into the short-term results of MIRP versus RRP. This review summarizes the findings of 2 recent studies comparing the short-term outcomes of MIRP with that of RRP in Medicare beneficiaries.

[学科分类] 基础医学