Da Vinci robotic prostatectomy is the latest and most technically advanced surgical treatment option for patients undergoing prostate cancer surgery. Assoc. Prof. Appu utilises the latest Da Vinci 4si robotic system which allows greater visualisation, enhanced dexterity and precise control of tissues with superior ergonomics. The surgery is performed with five small incisions measuring less than 1cm in the abdominal area and leaves minimal scarring.
The state of the art robotic technology allows adjustment for any minor surgical tremors and this is then filtered and translated into precise movement of micro instruments within the patient’s abdominal cavity.
The Da Vinci camera operates on a three dimensional system allowing superior view even in patients who are morbidly obese or with deep set pelvis. The Da Vinci system requires direct input from your surgeon and it cannot make decisions without surgical guidance. As such it is important to select a surgeon who is formally trained and experienced in this complex technique.
The proven benefits of robotic radical prostatectomies have been demonstrated in multiple international studies involving direct comparison with open technique. These include:
- Reduced hospital inpatient stay
- Reduced risk of wound infections and pain
- Reduced average blood loss
- Reduced transfusion rates
- Reduced risk of post operative bladder neck contractures (scars blocking the urine outflow post surgery).
- Quicker mobilisation of patients and return to activities.
There have been several recent studies (META- ANALYSES and case series) to suggest that there is also improved continence (control of urine) and erections by telerobotic surgery when compared to the traditional open technique. These have been largely attributed to the delicate Da Vinci instrumentation as well as the excellent three dimensional view which is not possible with open surgery.