Robotic Assisted Laparoscopic Prostatectomy

One in six American men will be diagnosed with prostate cancer in their lifetime. Nationally, over 200,000 will be diagnosed with the disease this year. When prostate cancer is diagnosed early, new advanced therapies allow patients a more rapid return to normal activity and a better quality of life after treatment.

Benefits of Robotic-Assisted Laparoscopic Prostatectomy

Currently there are three Approaches to Radical Prostatectomy surgery:

  • Open
  • Laparoscopic
  • Robotic-Assisted Laparoscopic (da Vinci® Prostatectomy) An open prostatectomy requires an 8-10 inch incision on the patient's abdomen for direct access to the operative site. Conventional laparoscopic and robotic-assisted laparoscopic approaches require several dime-sized incisions, or operating "ports," which are used to introduce narrow-shafted instruments. The surgeon and assistants maneuver the instruments from outside the body, under vision provided by a surgical camera.
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The potential advantages of laparoscopic and robotic-assisted laparoscopic prostatectomy over conventional open surgery include:
  • Smaller incisions
  • Less post-operative pain
  • Improved cosmetics
  • Reduced blood loss
  • Less need for blood transfusions
  • Faster return to normal activities

The two major drawbacks of conventional laparoscopy are that it relies on the use of rigid, hand-held instruments and visualization provided by a standard 2D video monitor. While these technologies enable smaller incisions, they can limit the surgeon's sense of depth of field, his/her dexterity and precision. Standing at the patient's side, the surgeon must operate in a counterintuitive fashion, moving the long-shafted instrument handle in precisely the opposite direction as he or she intends to move the instrument tip. The surgeon maneuvers the instruments while looking up at the 2D view of the operating field projected on a tableside video monitor and while instructing an assistant on how to position the surgical camera.
 
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In contrast, da Vinci Prostatectomy (dVP) incorporates state-of-the-art robotic technologies that provide natural depth of field and allow a surgeon's hand movements to be scaled, filtered and translated into precise micro-movements of tiny instruments at the operative site. The superior visualization, enhanced dexterity, precision and control enable the surgeon to perform complex procedures - like radical prostatectomy - through dime-sized operating "ports." For most patients, da Vinci Prostatectomy offers substantially less pain and a much shorter recovery than traditional prostate surgery. Other advantages may include reduced need for blood transfusions, less scarring and less risk of infection. In addition, recent studies suggest that dVP may offer improved cancer control and a lower incidence of impotence and urinary incontinence. Due to its obvious advantages, dVP has become the fastest growing treatment for prostate cancer in the United States. Moreover, dVP has already been used to successfully treat thousands of prostate cancer patients worldwide. This year, it is expected that 20% of all prostatectomies will be performed using this technique, and that this percentage will continue to grow rapidly. Studies show that the da Vinci® Surgical System allows surgeons to provide better clinical outcomes and redefine standards of care. 
 
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Scheduling an Appointment

To make an appointment at Ochsner Health System's Prostate Center, call 504-842-PSA1 (504-842-7721).

For your first appointment, please bring the below items with you:

  1. Biopsy results (pathology report)
  2. PSA results
  3. List of current medications
  4. Bone scan results (if a bone scan was done)
  5. CT scan results (if a CT scan was done)
  6. Name, address and phone number of your doctor.

For out-of-town guests, accommodations are available at the Brent House Hotel which is conveniently located on Ochsner Medical Center's Jefferson Highway campus. For more information, or to make an online reservation, click here. For reservations by phone, please call 800-535-3986.

da Vinci is a registered trademark of Intuitive Surgical, Inc.