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Textbook of
Robotic Urologic
Surgery.
Release Date:
January, 2007
Michael Esposito,
Vincent Lanteri
&
Jeffrey Stock
Laparoscopic Radical Prostatectomy
Advantages of Laparoscopic Surgery
Significantly reduced blood loss
Significantly reduced postoperative pain
Significantly reduced hospital stay
Significantly quicker return to normal activities
Definition: Robotic Assisted - Laparoscopic Radical Prostatectomy
Two robotic systems (AESOP and da Vinci) are utilized during this operation. The combination of these systems allows 3-D vision which considerably enhances the quality of the procedure.
The robotic arms in combination with the specialized instruments allow precision dissection and suturing of the vital parts of the operation relating to urinary control and sexual function.
Laparoscopic removal of the prostate gland and seminal vesicles is performed with intention to cure cancer of the prostate. This operation includes a sewn or sutured re-connection of the bladder to the urethra.
In certain patients, before starting the prostate removal, the laparoscopic removal of local lymph nodes is performed to exclude the possibility that the cancer has traveled outside the prostate.
This operation is suitable for the majority of men with localized prostate cancer who would be candidates for Open Radical Prostatectomy.
The nerves and blood vessels (neurovascular bundles) that supply the erections of the penis are anatomically in close location to the prostate. During laparoscopic procedure the nerve bundles are more easily visualized. These structures may be spared if the cancer is thought to be sufficiently localized to the prostate and not to have spread to these areas. However these neurovascular bundles may require removal depending on the stage of the cancer.
Men require a catheter in the bladder following a removal of the prostate. With the laparoscopic procedure the catheter remains in for one third of the time (5-7 days instead of 2 weeks).
The urinary control is significantly improved following the laparoscopic procedure due to the exceptional precision of the operation compared with the open surgery.
These laparoscopic operations are performed with tiny telescopes and instruments inserted through tiny incisions. The abdomen is filled with carbon dioxide gas to create a tent-like area in which to work. ( this is the same as for the laparoscopic removal of the gallbladder ).
The Average blood loss for the procedure is 150ml ( 5 ounces ).
Home - Prostate Cancer - Robotic Urology - Prostate Removal by Robotic Surgery Laparoscopic Prostatectomy - Nerve Sparing
Radical Prostatectomy (prostate removal)
New Jersey Center for Prostate Cancer and Urology has two locations:
in Maywood at 255 W. Spring Valley Avenue and in Monmouth Medical Center at 255 Third Ave., Long Branch.
Call us for more information: Maywood (201) 487-8866 Monmouth Medical Center (732) 403-5506
