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- W2022249947 abstract "In the current issue of European Urology, Tewari et al. [1] present a remarkable systematic review examining perioperative outcomes and margin rates of open radical prostatectomy (ORP), laparoscopic radical prostatectomy (LRP), and robot-assisted radical prostatectomy (RARP). They found that the rate of adverse events was lower with RARP than with ORP or LRP. This is the latest in a growing body of publications that critically examine the comparative effectiveness of different approaches to radical prostatectomy (RP) [2–5]. Since the early proof-of-principle studies in Europe [6,7] and the establishment of the approach as a viable, reproducible surgical tool in the United States [8], robotic surgery has transformed the discipline of urology, and nowhere has its effect been felt more than in the technique of RP. In 2001, <200 of the roughly 70 000 patients undergoing RP in the United States underwent RARP. By 2008, nearly two-thirds of patients chose the robotassisted option [2]. The rapidity of this expansion has rivaled that of the Internet and has far exceeded that of laparoscopic nephrectomy, cell phones, or the personal computer [9]. The expansion of this technology did not happen in a controlled, scientific, scholarly manner. The initial adopters of the procedure came from places such as Detroit, Michigan; San Ramon, California; and Birmingham, Alabama (among others). In a gothic interpretation, the expansion of RARP has been attributed to the marketing genius of a monopolistic manufacturer endorsed by overenthusiastic surgeons anxious to secure a competitive advantage [10]. There is some truth to this observation: Surgeons and hospitals have increasingly createdWeb sites, and the information presented there is often uncontrolled, unedited, and unproven [11]. However, patients are undeniably voting with their feet, and robotic surgery" @default.
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- W2022249947 date "2012-07-01" @default.
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- W2022249947 title "Robot-assisted Radical Prostatectomy: Ready To Be Counted?" @default.
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- W2022249947 doi "https://doi.org/10.1016/j.eururo.2012.03.014" @default.
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