ABSTRACT

Radical prostatectomy has evolved enormously over the last 25 years. Radical prostatectomy is one of the main curative treatments for localized prostate cancer and can be performed via a retropubic or perineal approach and, by laparoscopy or robotic. Although open radical retropubic prostatectomy (ORRP) remains the gold standard, the past years have seen a rise in both laparoscopic radical prostatectomy (LRP) and robot-assisted radical prostatectomy (RARP), and many patients seem to prefer the so-called minimally invasive procedures despite insufficient data demonstrating superiority over the established standard ORRP.

This article focuses on comparison of oncological outcomes with open radical prostatectomy and minimally invasive approaches RARP and LRP. A search of the most recent literature was performed using PubMed, and data from lectures and presentations given at international conferences were used.

Current data states that oncological results ultimately depend more on surgical technique than on surgical approach.