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RoboticOncology.com: Robotic Surgeon Dr. David Samadi, MD Introduces His SMART Surgery Technique for Prostate Cancer Treatment
Date:7/26/2010

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As a trained fellow in both urologic oncology and laparoscopy, Dr. Samadi uses robotic surgery as a tool that gives him ease of movement, increased magnification and visualization as well as extraordinary dexterity, precision and range of movement. Hand controls maneuver the EndoWrist® instruments in the da Vinci® S HD-Surgical System Robot which offer him unparalleled 360 degree range of motion. Foot pedals allow him to make the camera inside the patient zoom in and out, giving him a high definition 3D view of the prostate, nearby organs, nerves and blood vessels.

"The SMART technique is an advanced technique that should not be performed early in a robotic surgeon's learning curve," advised Dr. Samadi. Since 2003, Dr. Samadi has performed more than 3,000 Robotic Assisted Laparoscopic Prostatectomies (RALP); about half were done using the SMART technique. With the da Vinci robot and the SMART technique, Samadi is able to help his patients achieve continence rates of 97% and potency rates of 81% at 1 year, while giving them a 95% cure rate.

Dr. Samadi's SMART technique can be performed in 2 hours or less. It is a complicated prostate surgery procedure that involves dropping the bladder, transecting the medial and posterior bladder neck and dissecting the seminal vesicle. After this is completed, then Samadi tackles the main, yet intricate part of the procedure: removing the prostate while sparing the surrounding nerves. After the dorsal venous complex (DVC) dissection, the prostate is removed
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