The use of robotic prostate cancer surgery is rising throughout the world, however, there is still disagreement over the perioperative, functional, and oncologic outcomes of RARP, laparoscopic radical prostatectomy (LRP), and open radical prostatectomy (ORP). When circumstances call for it, it may be necessary to fully remove the prostate gland to lessen the likelihood of the cancer spreading.
This is referred to as a radical prostatectomy while performing surgery for prostate cancer. While the prostate plays a supporting role in ejaculation (potency) and helps to control urine flow (continence), it is not necessary and can typically be removed with little to no impact on patient quality of life while significantly extending patient lifespan. S
Radical prostatectomy has long been carried out as an open procedure with satisfactory results, but as minimally invasive surgery has advanced, radical prostatectomies can now be carried out laparoscopically.
With the introduction of the da Vinci robot from Intuitive Surgical Inc., recent technological advancements have elevated radical prostatectomy above laparoscopy to a completely new level of success.
An Overview of Prostate Cancer Surgery for Patients
The goal of minimally invasive prostate cancer surgery is to use the fewest possible entry points to gain access to the affected anatomy. Traditional open prostatectomies required making a significant incision mydigitalstar the lower abdomen.
Naturally, extensive incisions in conventional surgery for prostate cancer increase the danger of infection, take a lot longer for the patient to recover and frequently result in a noticeable scar. However, laparoscopic procedures using the da Vinci Robot avoid this significant incision and provide the same access through a few tiny skin incisions, each about the size of a dime. For the laparoscopic Port Placement image equipment to be able to pass through, a tiny plastic tube known as a “port” is put into each hole.
The abdomen is slightly inflated with carbon dioxide to create space within for the surgeon to operate. The surgeon can do the same operations in this workspace as they would if the abdomen had been sliced open, but without the noticeable scar.
How robotic assistance in prostate cancer surgery benefits the patient
- Improved control of prostate cancer
The surgeon may more precisely locate, expose, and dissect the diseased prostate because of the true color 3-D high magnification vision, “intuitive” manipulation of technologically enhanced, precisely articulated surgical instruments, and better management of blood loss. The robotic prostatectomy’s total margin positive rate is 19 percent. More significantly, in men with prostate-specific cancer, the apical area was appropriately identified and dissected, leading to very low positive margins of 6% in cases with organ-confined illness. It was extremely challenging to perform such a instantgenuines and clean excision of the prostate’s apical area before the invention of the Da Vinci robot.
- Reduced Hospital Stay for Patients Undergoing Robotic Surgery
Regardless of age, patients spend somewhat longer than 24 hours in the hospital on average after surgery. This quick recovery is facilitated by smaller incisions and much less blood loss.
- urinary incontinence following robotic surgery
The success rate of continence following robotic prostatectomy is very high. Using the criteria of zero pads used per day means men will use no pads, not even security pads, but they may have a few drops of leakage during the day. The percentage of males reaching this zero pad/day level is 50 percent after 1 month, and 75 percent at 3 months after surgery. The remaining guys use one or more security pads daily for three months.