The most recent advance in the management of localized prostate cancer is the robotic-assisted, laparoscopic prostatectomy (surgical removal of part of the prostate gland). The laparoscopic instruments are attached to the robotic arms of the DaVinci robotic system at the bedside. The surgeon controls the movements of the robotic arms from a remote console while visualizing the surgical field through a 3-D camera.
Instead of a larger incision needed for a standard operation, there a four small, keyhole like incisions. The blood loss during robotic-assisted procedure is reduced significantly to about one-sixth of what is noted with standard open surgery. The precision of movements and improved visualization of the surgical field allows for preservation of vital structures and reduces the risk of potential side effects such as impotence or urinary dysfunction. Also, the time to full recovery may be reduced by one half for most patients.