Robotic Prostatectomy: A New Frontier


Health News | Spring/Summer 2006

Today, men diagnosed with prostate cancer no longer have to face major surgery involving large incisions and post-operative side effects such as loss of bladder control and sexual function. Robotic-assisted laparoscopic prostatectomy-revolutionary and advanced prostate cancer treatment-has profoundly changed the options for prostate cancer patients.

“The robot gives you greater magnification and a better range of motion, allows you to get into spaces that normally would be difficult with open surgery and, since you have a bloodless field, the surgeon can see the nerves that are responsible for sexual function really well,” says David B. Samadi, M.D., Director of Robotic Surgery, New York-Presbyterian Hospital/Columbia University Medical Center and Assistant Professor of Urology, Columbia University College of Physicians and Surgeons. “With robotic prostatectomy, my patients are spending less than 24 hours in the hospital. They lose less blood, have less pain, and avoid the familiar unwanted side effects of other treatments.”

Robotic Prostatectomy: Benefits at a Glance

Patients who undergo robotic prostatectomy as compared to open surgery will find many benefits, including:
  • A shorter hospital stay
  • Less pain
  • Decreased risk of infection
  • Reduced blood loss and transfusions
  • Less scaring
  • Faster recovery
  • Quicker return to normal activities
However, Dr. Samadi points out, the success of a robotic program lies not only in the new technology, but also in the skill of the surgeon in performing open surgery, as well as in his or her training in laparoscopic procedures. It is this unique combination that leads to good outcomes.

The minimally invasive procedure is performed through a few small “keyhole” entrances. The surgeon controls the robotic device consisting of high-resolution cameras and micro-surgical instruments. Using these finely controlled robotic instruments, the surgeon can manipulate tissue with greater precision and remove the prostate gland without harming surrounding tissue, as well as protect delicate prostate nerves controlling bladder and sexual function.

Dr. Samadi is now expanding robotic surgery to the treatment of bladder cancer. “Following chemotherapy for bladder cancer, we have been able to remove the whole bladder and the prostate using the robot. This is an exciting time and we’re expanding the horizon to treat other types of cancer.”

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* The benefits of robotic surgery cannot be guaranteed as surgery is both patient and procedure specific. Previous surgical results do not guarantee future outcomes.




Testimonials
Jeannette B., Netherlands

Mijn man werd op 17-09-2008 geopereerd met een Da Vinci door dr.Samadi. (PSA 31.8, gleason score 9) Eerst hebben we geprobeerd dit plaats te laten vinden in Europa,maar daar werd geen operatie gedaan met een kapseldoorbraak.

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A. B., Romania

 “On post-op day 10, my father went to the US Tennis Open by himself and on day 12, he took a transatlantic flight home to Romania. One and two months after surgery, his PSA was 0..”

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Yossi, Israel

I chose to undergo the operation with a specialist in the U.S., who has an extensive experience in robotic surgeries: Dr. David Smadi. The surgery was relatively simple: i didn't suffer any pain, lost a small amount of blood and had the catheter only for seven days. I got back to full functioning very soon afterwards.

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H. S. MD, Connecticut, USA

It is now more than a week post-op and all is well (including path reports). Once again, I thank Dr. Samadi and all at Mount Sinai for the opportunity to be cared for by the best.?

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