Laparoscopy or robotic radical prostatectomy: Pros and cons

Abstract

Radical prostatectomy is currently performed commonly by robotic assistance (RRP) in western world surpassing laparoscopic radical prostatectomy(LRP).Robotic assistance has distinct advantages over traditional laparoscopic surgery, as it improves precision because endowrist technology providing freedom of movements to its instruments in 3-D vision with better ergonomics for the surgeon. The biggest challenge is the cost of the robot, so as the price of its maintenance and instruments. The cost of LRP is much lower than that of the RRP. Of course, the learning curve for laparoscopic radical prostatectomy is steep. Development of newer instrumentation with 4 degree of movements and 3-D vision during laparoscopy may resurrect role of LRP. This chapter focusses on pros and cons of LRP and RRP.