Editor’s Pick: Recent Developments in Minimally Invasive Radical Prostatectomy

The surgical robot has the advantage of enabling the console surgeon to perform complex procedures more easily, providing three-dimensional and magnified views, higher grades of wristed hand movements, and decreased hand tremor, while the fourth robotic arm offers additional assistance and tissue retraction which facilitates the learning curve. Robotic radical prostatectomy can be learned and performed successfully in the hands of surgeons without previous laparoscopic radical prostatectomy experience! Dr A. Erdem Canda

*Jarno Riikonen,1 Antti Kaipia2

1. Department of Urology, Tampere University Hospital, Tampere, Finland
2. Department of Surgery, Satakunta Central Hospital, Pori, Finland
*Correspondence to jarno.riikonen@pshp.fi

Disclosure: J.R. was a surgeon proctor for Intuitive Surgical Inc. in 2011. A.K. has no potential conflict of  interest.
Received: 23.10.14 Accepted: 28.11.14
Citation: EMJ Urol. 2015;3[1]:12-18.

Abstract

Minimally invasive surgery has gained a dominant status in prostate cancer surgery during the last  decade. The benefits of minimally invasive prostatectomy were demonstrated by pioneers of conventional  laparoscopic prostatectomy, however, the real domination of laparoscopy in radical prostatectomy (RP) started after the dissemination of robotic surgery. Robot-assisted surgery still remains the most widespread method to perform minimally invasive RP, although the recent evolution of laparoscopic technology and instruments has evoked interest in conventional laparoscopy again. The recent developments in the technique of RP are focused on decreasing invasiveness and complications. The recent methods to improve postoperative functional outcome of RP can be utilised without compromising the oncological results.

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