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Long-term study: Robot-assisted prostate surgery is safe
Date:3/23/2011

dy that both concentrated on RARP and incorporated an exhaustive collection of data, covering everything from length of hospital stay, to an in-depth examination of other diseases afflicting the patients, but unrelated to their cancers.

Among the study group of 3,317 RARP patients, researchers found a median hospitalization time of only one day. There were 368 complications in 326 of the patients or 9.8 percent of the total most of which were minor and occurred within 30 days of the surgery.

A patient's prostate-specific antigen (PSA) scores before surgery, as well as cardiac disease, were found to predict medical complications after the robot-assisted surgery; age, gastroesophageal reflux disease (GERD), and biopsy score predicted possible surgical complications.

The researchers' main conclusion was that "RARP is a safe operation."

Henry Ford's robot-assisted urology program uses a surgeon-controlled robot, the da Vinci minimally invasive surgery system.

It enables surgeons to manipulate robotic arms for precise procedures through a series of small incisions, instead of the large wounds required by traditional "open" surgery, and provides 3-D monitoring for the entire surgical team.

The potential benefits for the patient include shorter recovery times, less trauma, and reduced hospitalization costs.

It is also the basis of a "nerve-sparing" procedure called the Veil of Aphrodite, developed at Ford, to minimize the erectile dysfunction common in men after undergoing traditional radical prostatectomy.

"While these results provide strong endorsement for robotic surgery, we want to emphasize that the results are dependent more on the surgical team that controls the da Vinci robot rather than just the robot," Dr. Menon states.


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Contact: Dwight Angell
dwight.angell@hfhs.org
313-876-8709
Henry Ford Health System
Source:Eurekalert

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