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Systematic Review on the Robotic and Minimally Surgery in the Treatment of the Prostate
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  • Dr. Idiberto Jose Zotarelli Filho, MSc, Ph.DOrcid
Dr. Idiberto Jose Zotarelli Filho, MSc, Ph.D
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Introduction: In the context of robotic surgery (RS), approximately 1.5 million robotic surgeries have been performed worldwide in the past decade. In Brazil, prostate cancer is the second most common among men (behind only non-melanoma skin cancer). In absolute values and considering both sexes, it is the fourth most common type and the second most incident among men. Objective: Therefore, the present study aimed to present, through a systematic review, the main approaches to RS as a minimally invasive procedure for the prostate. Methods: After literary search criteria with the use of Mesh terms were used the main databases such as Pubmed, Medline, Bireme, EBSCO, Scielo, etc., a total of 55 papers that were submitted to the eligibility analysis were cross-checked and after that 20 studies were selected, following the rules of systematic review-PRISMA. Results and Conclusion: The scientific evidence reported points to some potential benefits of robotically assisted surgery compared to open surgery and laparoscopic surgery. The outcomes related to less blood loss and consequently less need for blood transfusion, as well as the preservation of sexual function seem to be the most significant advantages in relation to comparators. Better urinary continence and shorter hospital stay due to lower rates of perioperative complications are also reported in the studies.
Keywords: Robotic surgery. Minimally invasive surgery. Prostate cancer. Prostatectomy.