Evidence-based evolution of our robot-assisted laparoscopic prostatectomy (RALP) technique through 13,000 cases

Abstract

Robot-assisted laparoscopic radical prostatectomy (RALP) has become the standard of surgical care in the USA and around the world. Over the past 18 years, we have performed 13,000 radical prostatectomies, and our surgical technique has evolved over time. We discuss this evolution and how it has helped us achieve optimal patient outcomes.

Keywords: Apex sparing; High volume; Minimally invasive; Nerve spare; Neurovascular bundle; Periurethral suspension; Posterior reconstruction; Prostate cancer; Radical prostatectomy; Robotic prostatectomy; Robotics; Single surgeon; Surgical technique; Vesicourethral.