[Laparoscopic (non robotic) radical prostatectomy versus open radical prostatectomy in localized prostate cancer]
Pichon Riviere A, Augustovski F, Garcia Marti S, Glujovsky D, Lopez A, Rey-Ares L, Alcaraz A, Bardach A, Ciapponi A
Record ID 32014000262
Spanish
Authors' objectives:
The purpose of this report is to assess the evidence available on the efficacy, safety and coverage policy related aspects on the use of LRP versus ORP in patients with localized prostate cancer. The detailed RALP performance analysis has been excluded because it is described in another health technology assessment (HTA) conducted by the Institute for Clinical Effectiveness and Health Policy (IECS).
Authors' recommendations:
The current moderate-quality evidence available on the safety and efficacy of LRP shows that it is a valid alternative, with a performance at least comparable to that of ORP in some cancer results assessed. Laparoscopy surgeons require special training and the results are operator-dependent. Although it implies a longer surgical time than open surgery, it is associated with a lower rate of intra-operative blood loss, decreased rates of blood transfusions and a shorter hospitalization period. However, there is no clear evidence to conclude that LRP is better than ORP in terms of prostate cancer survival, biochemical relapse or disease-free margins. The cost-effectiveness of those surgical approaches other than open radical prostatectomy has not been established in Argentina yet.
Details
Project Status:
Completed
Year Published:
2013
URL for published report:
https://www.iecs.org.ar/home-ets/?cod_publicacion=1541&origen_publicacion=publicaciones
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Humans
- Laparoscopy
- Prostatectomy
- Prostatic Neoplasms
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.