Robotically Assisted Laparoscopic Radical Prostatectomy: Feasibility Study in MenPasticier G. · Rietbergen J.B.W. · Guillonneau B. · Fromont G. · Menon M. · Vallancien G.
aDepartment of Urology, Institut Mutualiste Montsouris, University Pierre and Marie Curie, Paris, France; bVattikuti, Urology Institute, Henry Ford Hospital, Detroit, Mich., USA
Purpose: We report our early experience of robotically assisted laparoscopic radical prostatectomy. Material and Methods: Five consecutive patients, with an average age of 58 years, PSA 12, 1.6 positive biopsies, Gleason score 6, were operated in our institution over a period of 1 week by the same surgeon. A robotically assisted laparoscopic nerve sparing radical prostatectomy was performed according to the Montsouris technique with the Da Vinci robot (Intuitive Inc., Mountain View, Calif., USA). Results: The mean installation time was 93 min (range 76–149). The mean operating time (starting at the dissection of the seminal vesicles until the final stitch of the anastomosis) was 222 min (range 150–381 min). The average blood loss was 800 cm3 (range 700–1,600 cm3). No postoperative complications were seen. Bladder catheter time: 6.5 days, hospital stay 5.5 days, urine leak 1/5, continence 4/5, positive margin 1/5. Conclusion: After this short experience, we conclude that: The use of a tele manipulation system accompanied by a three–dimensional view of the operating field provides a real benefit for the surgeon, and the urethro–anastomosis is easier to perform. The benefit for the patient is presently not very clear in terms of operating time, postoperative course and functional results, our initial results show that the robotically assisted procedure is at least as safe and effective as the conventional laparoscopic procedure.
Guy Vallancien, MD
Department of Urology, Institut Mutualiste Montsouris
42, Boulevard Jourdan
F–75014 Paris (France)
Tel. +33 1 56 61 66 25, Fax +33 1 56 61 66 39, E–Mail firstname.lastname@example.org
Accepted after revision: December 15, 2000
Number of Print Pages : 5
Number of Figures : 4, Number of Tables : 2, Number of References : 8
Official Organ of the European Association of Urology
Vol. 40, No. 1, Year 2001 (Cover Date: July 2001)
Journal Editor: C.C. Schulman, Brussels
ISSN: 0302–2838 (print), 1421–993X (Online)
For additional information: http://www.karger.ch/journals/eur