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Fueled in part by fewer complications, robotic-assisted radical prostatectomy (RARP) has surpassed open surgery as the predominant surgical approach to localized prostate cancer, analysis of a national database showed.

From October 2008 to December 2009, RARP accounted for 61 percent of prostatectomies performed in the United States. Comparison of complications between RARP and open surgery showed a consistent advantage for the minimally invasive surgery, including fewer blood transfusions, intraoperative and postoperative complications, and prolonged hospitalizations, investigators reported in the April issue of European Urology.

The results corroborated findings from multiple single-center studies of the two surgical procedures, according to Quoc-Dien Trinh, MD, and Jesse Sammon, DO, both of Henry Ford Health System in Detroit, and colleagues.

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