Table C14Outcomes after laparoscopic extraperitoneal, transperitoneal, robot assisted, and radical retropubic prostatectomy (from systematic review by Tooher et al) 56

Outcome (Number of Studies)Effect Size
% Conversions to open procedure(12)0–14 (median 2)
% Total complications
Transperitoneal LRP vs. RRP (6)0–25 (median 17) vs. 8–25 (median 19)
Extraperitoneal endoscopic RP vs. RRP (3)11–37 (median 14) vs. 8–30 (median 20)
Robot assisted RP vs. RRP (2)5 + 7 vs. 20 + 10
Blood loss (ml)
Transperitoneal LRP vs. RRP (5)317–1,100 (median of means 800) vs. 1,325–1,550 (median of means 1,400)
Extraperitoneal endoscopic RP vs. RRP (2)795 vs. 829, 522 vs. 1,514
Robot assisted RP vs. RRP (3)103–382 (median of means 153), 418–1,330 (median of means 910)
% Transfusions
Transperitoneal LRP vs. RRP (5)0–18 (median 2) vs. 10–56 (median 26)
Extraperitoneal endoscopic RP vs. RRP (1)34 vs. 64
Robot assisted RP vs. RRP (3)0–28 (median 0) vs. 2–67 (median 38)
Operative time (minutes)
Transperitoneal LRP or extraperitoneal endoscopic RP vs. RRP (10)180–400 (median of means 288) vs. 105–235 (median of means 168)
Robot assisted RP vs. RRP (4)160–368 (median of means 231) vs. 163–242 (median of means 214)
Length of stay (days)
Transperitoneal LRP vs. RRP (8)2–12 (median of means 5) vs. 3–16 (median of means 7)
Extraperitoneal endoscopic RP vs. RRP (1)7.2 vs. 10.1
Robot assisted RP vs. RRP (3)1.1–2.0 (median of means 1.2) vs. 2.2–3.5 (median of means 2.7)
Catheterization (days)
Transperitoneal LRP vs. RRP (5)6.5–14 (median of means 7) vs. 12–19 (median of means 15)
Extraperitoneal endoscopic RP vs. RRP (2)6–11.8 (median of means 8) vs. 8.4–15 (median of means 14)
Robot assisted RP vs. RRP (3)6.3–7 (median of means 7) vs. 9–15.8 (median of means 13)
% Positive margins
Transperitoneal LRP vs. RRP (8)11–50 (median 23) vs. 20–34 (median 29)
Extraperitoneal endoscopic RP vs. RRP (3)16–30 (median 26) vs. 15–40 (median 24)
Robot assisted RP vs. RRP (4)6–26 (median 16) vs. 4–29 (median 20)
% Recurrence-free survival
Transperitoneal LRP vs. RRP (2)84 + 99 vs. 75 + 97
Extraperitoneal endoscopic RP vs. RRP (2)91 + 81 vs. 93 + 89
Robot assisted RP vs. RRP (2)92 + 95 vs. 85 + 95
Continence (% pad free)
Transperitoneal LRP vs. RRP (3)60–90 (median 80) vs. 67–90 (median 89)
Extraperitoneal endoscopic RP vs. RRP (3)79–90 (median 81) vs. 60–88 (median 83.9)
Robot assisted RP vs. RRP (3)76–90 (median 78) vs. 68–83 (median 75)
% Potency
Transperitoneal LRP vs. RRP (1)41 vs. 30
Extraperitoneal endoscopic RP vs. RRP (2)9 + 65 vs. 10 + 55
Robot assisted RP vs. RRP (2)71 + 90 vs. 59 + 40
*

PSA 0.2 m/l or greater on more than 1 occasion

LRP= laparoscopic radical prostatectomy

RRP= retropubic radical prostatectomy

From: Appendix C, Evidence Tables and Figures

Cover of Comparative Effectiveness of Therapies for Clinically Localized Prostate Cancer
Comparative Effectiveness of Therapies for Clinically Localized Prostate Cancer [Internet].
Comparative Effectiveness Reviews, No. 13.
Wilt TJ, Shamliyan T, Taylor B, et al.

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