Laparoscopic Radical Prostatectomy with a Remote Controlled Robot
Copyright © 2001 American Urological Association, Inc.®. Published by Elsevier Inc. All rights reserved..
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∗ 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.
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:197 |
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| Enthalten in: |
The Journal of urology - 197(2017), 2S vom: 15. Feb., Seite S210-S212 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Abbou, Clément-Claude [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Completed 05.04.2019 Date Revised 05.04.2019 published: Print-Electronic CommentIn: J Urol. 2017 Feb;197(2S):S212. - PMID 28012749 Citation Status MEDLINE |
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| doi: |
10.1016/j.juro.2016.10.107 |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM267446713 |
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| 500 | |a CommentIn: J Urol. 2017 Feb;197(2S):S212. - PMID 28012749 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2001 American Urological Association, Inc.®. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a 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 | ||
| 520 | |a 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∗ 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Case Reports | |
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| 700 | 1 | |a Hoznek, András |e verfasserin |4 aut | |
| 700 | 1 | |a Salomon, Laurent |e verfasserin |4 aut | |
| 700 | 1 | |a Olsson, Leif Eric |e verfasserin |4 aut | |
| 700 | 1 | |a Lobontiu, Adrian |e verfasserin |4 aut | |
| 700 | 1 | |a Saint, Fabien |e verfasserin |4 aut | |
| 700 | 1 | |a Cicco, Antony |e verfasserin |4 aut | |
| 700 | 1 | |a Antiphon, Patrick |e verfasserin |4 aut | |
| 700 | 1 | |a Chopin, Dominique |e verfasserin |4 aut | |
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