Extraperitoneal robot-assisted radical prostatectomy: Comparison with transperitoneal technique

Table 4 Advantages of transperitoneal and extraperitoneal approaches to robot-assisted radical prostatectomy

Advantages of tRARP	Advantages of eRARP
Larger working space	Reduction in robotic console time
Allows extended pelvic lymphadenectomy	Reduction in bowel related morbidity
Lower incidence of lymphocele	Physiological effects of laparoscopy less marked due to minimal Trendelenburg position
Preferred in patients with mesh hernia repairs	Containment of leak (urine, blood) within retropubic space
	Preferred in patients with pre-existing inguinal hernia (allows mesh repair)
	Preferred in patients with intra-abdominal adhesions (reduces peritoneal viscera interference)

eRARP: Extraperitoneal robot-assisted radical prostatectomy; tRARP: Transperitoneal robot-assisted radical prostatectomy.