Laproscopy

Both the open and robotic laparoscopic done by experienced surgeons have good overall complication rates for incontinence and ED. I can relate to you the information my surgeon provided on results he has tracked. Just to set the stage my surgeon had done over 3,000 open types before switching to the robotic. He told me the reason he switched was to prove that the robotic was not any better then the open. The results were that he has adopted the robotic as the preferred method. While he has not published any numbers he told me that the robotic results tracked over 1,000 surgeries when compared to the open done by the other surgeons in the clinic he heads up indicates that the robotic is statistically significant better. He attributes this to the better field of vision. He also believes that not all PCa cases are candidates for the robotic. Cases where the biopsy indicates an aggressiive stage and significant involvement of the prostate along with the PSA and DRE he refers to the open type.

Tamu

Hi Bootheel,

I was told of many advantages for the laproscopic surgery.  The expected blood loss is 50-200 ccs compaired to 800-1000ccs for the open proceedure.  The prostate is located in the bottom of a dark hole, like the tapering shape of a funnel, surrounded by many important structures.  The DaVinci robot provides superior lighting and a camera lens that goes down into that now, well lit hole and provides the surgeon with a high quality view of a difficult environment to operate within.  When delicate structures like nerves, arteries, and veins are manipulated, lighting and excellent vision of the surgical field is essential.  These are the reasons that I selected laproscopic surgery rather then an open RP.

PACrat