| OVERVIEW
DAVINCI ROBOTIC PROSTATE SURGERY |
| |
| WHAT
IS A DA VINCI ROBOTIC
PROSTATECTOMY? |
| Da
vinci robotic prostatectomy is the removal of the prostate
gland, seminal vesicles, and sometimes lymph nodes for
the purpose of curing prostate cancer. |
 |
| |
| Instead of making
one 5 inch cut thorugh the muscle of the abdomen, the
da vinci robotic approach uses 5 small ¼ inch cuts
that do not cut any muscle. through these cuts instuments
are placed into the abdomen along with a camera that enlarges
the view to 12 times magnification. the davinci robot
is a tool used by dr. fagin to hold the laparoscopic instuments
and camera improving the precision, vision, and skill
with which Dr.Fagin can perform The operation. the operation
entails removal of the seminal vesicles and prostate while
selectively preserving the muscles that help with urinary
control, and the nerves that help with erectile function.
the prostate sits between the bladder and penis, with
a portion of the urethra running through it like a tunnel.
So, after the prostate is removed the bladder is re-attached
to the urethra with stitches, just as in open surgery
but with the magnification and delicate precision of laparoscopic
surgery and Davinci Robotics. |
| |
| ADVANTAGES
OF DA VINCI ROBOTIC
PROSTATECTOMY |
| 1) |
The published data
from surgeons experienced with daVinci robotic prostate
removal show that negative margin rates with da
Vinci surgery are equal to, and in some reports
better than, that of traditional open surgery. |
| 2) |
There is less
blood loss than traditional open surgery and rarely
need for blood transfusion |
| 3) |
There is less
pain after daVinci surgery (many patients do not
require any pain medication) |
| 4) |
Patients typically
require a hospital stay of only 23 hours |
| 5) |
Patients are
back to daily activities in a matter of days |
| 6) |
Urinary control
often begins to return as soon as a weeks after
surgery |
| 7) |
Gives patients
an excellent opportunity to return to full erections
when the nerves are spared |
| 8) |
The abdominal
scar is minimized giving an improved cosmetic result |
|
| |
| WHAT
ARE THE COMPLICATIONS
ASSOCIATED WITH DA
VINCI ROBOTIC PROSTATE
SURGERY? |
| 1) |
<1% chance of
delayed return of bowel function |
| 2) |
<1% chance
of bowel injury |
| 3) |
<1% chance
of injury to bladder or ureters requiring additional
surgery |
| 4) |
<1% chance
of prolonged urinary leak requiring extension of
the hospital stay by a few days or continued catheter
drainage for a slightly longer period |
| 5) |
<1% chance
of bleeding resulting in hematoma or blood transfusion |
| 6) |
<1% chance
of wound infection or hernia formation |
| 7) |
<3% chance
of urethral stricture |
| 8) |
<5% of patients
have incomplete return of urinary control 12 months
after surgery. |
|
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