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Robotic 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.

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.