Robotic radical prostatectomy is a minimally invasive surgical procedure used to treat prostate cancer. This technique utilises a robotic surgical system, such as the da Vinci Surgical System, to assist the surgeon in performing a prostatectomy, which is the removal of the prostate gland.

Key Features of Robotic Radical Prostatectomy

Minimally Invasive: Robotic surgery is minimally invasive, involving small incisions rather than a large open incision. This can result in less blood loss, reduced pain, and a faster recovery compared to traditional open surgery.

Robot-Assisted System: The da Vinci Surgical System is a robotic platform that consists of a console for the surgeon, robotic arms, and specialised instruments. The surgeon controls the robotic arms from the console, allowing for precise movements and enhanced visualisation.

High-Definition 3D Vision: The system provides high-definition, three-dimensional visualisation of the surgical site, allowing for better precision and accuracy during the procedure.

Wristed Instruments: The robotic arms have wristed instruments that mimic the movements of the surgeon’s hands with increased dexterity, making it easier to navigate tight spaces within the pelvic region.

Less Blood Loss: Because of the precision and the ability to control bleeding effectively, robotic surgery may result in less blood loss compared to open surgery.

Shorter Hospital Stay: Patients undergoing robotic radical prostatectomy often experience a shorter hospital stay compared to traditional open surgery.

Faster Recovery: The minimally invasive nature of robotic surgery may lead to a quicker recovery with less postoperative pain.

Procedure

Preparation: Patients are typically placed under general anaesthetic.

Incisions: Small incisions are made in the abdomen to allow for the insertion of the robotic instruments and a camera.

Robot Control: The surgeon sits at the console and controls the robotic arms, which hold and manipulate the surgical instruments.

Prostate Removal: The prostate is carefully dissected and removed.

Surgical Margins and Lymph Nodes: The surgeon may examine and, if necessary, remove nearby lymph nodes to assess if the cancer has spread. Attention is given to achieving clear surgical margins (removing the cancer with a margin of healthy tissue).

Closure: The incisions are closed, and the patient is taken to the recovery area.

Recovery and Follow-Up

Recovery varies, but patients often experience less pain and a quicker return to normal activities compared to traditional open surgery.

Follow-up appointments are scheduled to monitor recovery and assess the success of the surgery.

While robotic radical prostatectomy has several advantages, including reduced invasiveness and faster recovery, it may not be suitable for all patients. The choice of treatment depends on factors such as the stage and aggressiveness of the cancer, the patient’s overall health, and individual preferences. The decision should be made after a thorough discussion with a urologist or oncology team.

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