LAPAROSCOPIC RADICAL PROSTATECTOMY WITH A REMOTE CONTROLLED ROBOT

Abstract

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Jun 2001LAPAROSCOPIC RADICAL PROSTATECTOMY WITH A REMOTE CONTROLLED ROBOT CLÉMENT-CLAUDE ABBOU, ANDRÁS HOZNEK, LAURENT SALOMON, LEIF ERIC OLSSON, ADRIAN LOBONTIU, FABIEN SAINT, ANTONY CICCO, PATRICK ANTIPHON, and DOMINIQUE CHOPIN CLÉMENT-CLAUDE ABBOUCLÉMENT-CLAUDE ABBOU More articles by this author , ANDRÁS HOZNEKANDRÁS HOZNEK More articles by this author , LAURENT SALOMONLAURENT SALOMON More articles by this author , LEIF ERIC OLSSONLEIF ERIC OLSSON More articles by this author , ADRIAN LOBONTIUADRIAN LOBONTIU More articles by this author , FABIEN SAINTFABIEN SAINT More articles by this author , ANTONY CICCOANTONY CICCO More articles by this author , PATRICK ANTIPHONPATRICK ANTIPHON More articles by this author , and DOMINIQUE CHOPINDOMINIQUE CHOPIN More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)66251-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Robotics in surgery is a recent innovation. This technology offers a number of attractive features in laparoscopy. It overcomes the difficulties with fixed port sites by restoring all 6 degrees of freedom at the instrument tips, provides new possibilities for miniaturization of surgical tasks and allows remote controlled surgery. We investigated the applicability of remote controlled robotic surgery to laparoscopic radical prostatectomy. Materials and Methods: Our previous experience with laparoscopic prostatectomy served as a basis for adapting robotic surgery to this procedure. A surgeon at a different location who activated the tele-manipulators of the da Vinci * Intuitive Surgical, Inc., Mountain View, California. robotic system performed all steps of the intervention. A scrub nurse and second surgeon who stood at patient side had limited roles to port and instrument placement, exposure of the operative field, assistance in hemostasis and removal of the operative specimen. Our patient was a 63-year-old man presenting with a T1c tumor discovered on 1 positive sextant biopsy with a 3+3 Gleason score and 7 ng./ml. preoperative serum prostate specific antigen. Results: The robot provided an ergonomic surgical environment and remarkable dexterity enhancement. Operating time was 420 minutes, and the hospital stay lasted 4 days. The bladder catheter was removed 3 days postoperatively, and 1 week later the patient was fully continent. Pathological examination showed a pT3a tumor with negative margins. Conclusions: Robotically assisted laparoscopic radical prostatectomy is feasible. This new technology enhances surgical dexterity. Further developments in this field may have new applications in laparoscopic tele-surgery. References 1 : Telerobotic assisted laparoscopic surgery: initial laboratory and clinical experience. Urology1994; 44: 15. Google Scholar 2 : Complete robot-assisted laparoscopic urologic surgery: a preliminary report. 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Volume 165Issue 6 Part 1June 2001Page: 1964-1966 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.Keywordsfeasibility studieslaparoscopyprostatectomyroboticsprostatic neoplasmsMetricsAuthor Information CLÉMENT-CLAUDE ABBOU More articles by this author ANDRÁS HOZNEK More articles by this author LAURENT SALOMON More articles by this author LEIF ERIC OLSSON More articles by this author ADRIAN LOBONTIU More articles by this author FABIEN SAINT More articles by this author ANTONY CICCO More articles by this author PATRICK ANTIPHON More articles by this author DOMINIQUE CHOPIN More articles by this author Expand All Advertisement PDF downloadLoading ...