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Prominent Urologist Dr. David B. Samadi Presents Breakthrough Robotic Surgery Techniques on OR Live Webcast
Date:10/30/2008

he said.

Dr. Samadi has developed a new approach that helps him get to the tip of the seminal vesicle, which is not to cut the vas deferens too early. Using video to demonstrate, Dr. Samadi explained, "You can see while I have a chance to cut the vas deferens, I keep holding onto it because it's going to guide me as to where the tip of the seminal vesicle is. This is critical, especially if you have a very long seminal vesicle. I really don't like to leave the tip of the seminal vesicle."

Samadi responded by saying, "Once we get to the vas deferens and seminal vesicles, the rest of the surgery is completely done with cold scissors, without any cautery, because as we know any kind of cautery can damage the tissues at any point of this operation." He added that robotic surgery is advantageous in helping surgeons avoid ripping the delicate seminal vesicles, which are often torn during laparoscopic and open procedures.

In conclusion, Dr. Samadi said that, ultimately, robotic surgery affords patients improved quality of life on a number of fronts. The surgical operation is shorter, the recovery time is shorter, the blood loss is significantly less and the hospital stay is usually only a day with a robotic prostatectomy. Within a month to six weeks, patients know exactly where they stand regarding the existence of cancer. Samadi summed it up this way: "There is no greater joy as a surgeon to look at your patient and say, 'You are cured. Your PSA is undetectable and you can move on'."

About David B. Samadi M.D.

David B. Samadi, M.D. is Chief, Division of Robotics and Minimally Invasive Surgery at Mount Sinai School of Medicine in New York City. He is a board certified Urologic Oncologist, specializing in the diagnosis and treatment of pr
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