The Miriam Hospital
164 Summit Avenue
Providence, RI 02906
to prostatecetomy include traditional open surgery, conventional
laparoscopic surgery or robot-assisted laparoscopic surgery.
With traditional prostate cancer surgery, the incision is between eight
to ten inches long and patients usually remain in the hospital up to
five days after surgery. In addition, patients are catheterized for two
to three weeks, and there is a risk of side effects.
Minimally invasive, robotic-assisted prostate cancer surgery allows for
small incisions, less blood loss and reduced recovery time. Preservation
of the nerves necessary for erections can be an extremely important goal
for patients. These nerves run alongside the prostate and are often
damaged when removing the prostate. A nerve-sparing, robotic
prostatectomy attempts to preserve these nerves so that the patient may
be able to return to his prior erectile function.
da Vinci Surgical System is a state-of-the-art surgical robot that gives
surgeons more precise views of the prostate and surrounding tissue, as
well as greater dexterity. The system uses miniature instruments to
perform the procedure. A surgeon controls the robot from a remote
console that precisely translates his hand, wrist and finger movements
to the robotic arms inside the patient while providing a
three-dimensional view of those movements.
With the robot, the surgeon makes five keyhole openings rather than the
single large incision made during a traditional open prostatectomy.
These small openings result in less pain, and a shorter hospital stay.
Patients who undergo robotic assisted surgery usually leave the hospital
within two days, and some are able to return to normal activities within
two weeks after the procedure.
Using the robot, the surgeon removes the prostate and surrounding pelvic
lymph nodes (if indicated) through the small openings.
benefits may include:
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