| Abstract | This research analysed peri- and post-operative complications following prostate resection and compared three different surgical approaches. It extended the traditional open approach and two minimally invasive techniques, laparoscopy, and the Vinci robotic surgery, were examined.
The most common complications, such as urinary dysfunction, erectile dysfunction, blood loss, transfusion rates, postoperative pain, hospital stay, and operation time were of particular interest. Many different studies, Rechtmann et al. (14), Luciani et al. (15), Wang et al. (6), spanning 18 years were analysed to compare these complications and the different surgical techniques.
The analysis revealed differences between the surgical approaches, especially in urinary dysfunction, erectile dysfunction, blood loss and transfusion rates, which demonstrated the da Vinci robot as a modern, advanced technique in comparison with the other two in which laparoscopy showed better results than the open approach. There were only slight differences between the techniques in terms of hospital stay.
The robotic-assisted technique resulted in a shorter hospital stay compared to laparoscopy and the open approach, which only showed a slightly prolonged stay of about one day. The open approach is only superior in terms of the operation time followed by robotic-assisted and laparoscopy, respectively. However, the use of the da Vinci robot also has its limitations but with a new robotic device, it could become the best technology for radical prostatectomy. |
