DaVinci laparoscopic radical prostatectomy

Abstract

Robotic surgery with daVinci system (Intuitive Surgical®, USA) is the most sophisticated medical technology in urology. Integration of modern computer technologies, digital imaging and robotic technologies are now bringing opportunities to improve results of surgical procedures. One of the greatest advantages (in comparison to standard laparoscopy) is that the image of the operation field is three-dimensional and magnified. Further major advantages are the instruments themselves. Laparoscopic instruments only allow for rotation and have only one joint. Robotic instruments with technology of Endowrist® not only mimic, but even surpass the movements of a human hand, because all the joints are near the very tip of the instruments, allowing manoeuvres in the previously inaccessible spaces. This greatly enhances surgeon dexterity and precision and decreases the number of false movements. Robotic technology is ideally suited to decrease the technical difficulty in the most demanding urooncological and reconstructive procedures. daVinci radical prostatectomy is the new gold standard for minimally invasive surgical treatment of clinically localized prostate cancer. Our results from Centre of Robotic Surgery and Urology in Hospital Na Homolce, Prague also confirm the benefits for patients after daVinci prostatectomy (shorter hospital stay, quicker convalescence, better early continence and potency rate) similarly for patients after another urologie robotic surgery procedures. The learning curve for robotic surgery is much shorter than it's laparoscopic counterpart and skills are acquired faster avoiding the need for lengthy training in minimally invasive surgery. Robotic surgery with daVinci system have gradually switched many complex surgical procedures as radical prostatectomy from open and laparoscopic to the robotic approach.