Abstract
The purpose of this study is to describe the initial experience of robotic-assisted radical prostatectomy (RARP) in Australia. Since the installation of the daVinci® system at the Australian Institute for Robotic Surgery, Epworth Hospital, Melbourne in December 2003, 275 robotic-assisted radical prostatectomies have been performed by two surgeons. A prospective database is compiled for each procedure including patient, operative and outcome details. We report on the initial learning curve, surgical technique and modifications, anaesthetic considerations and surgical results comparative to open radical prostatectomy in a single surgeons experience along with margin positivity rates for the first 200 cases of RARP. RARP is the single most frequent adaptation of robotic-assisted surgery with promising initial results. Increasing availability of this modality will inevitably give rise to further adaptations. We present the initial Australian experience.
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Balaji KC, Yohannes P, McBridge CL, Oleynikov D, Hemstreet GP (2004) Feasibility of robot-assisted totally intracorporeal laparoscopic ileal conduit urinary diversion: initial results of a single institutional pilot study. Urology 63(1):51–55
Costello AJ (2005) Beyond marketing the real value of robotic radical prostatectomy. BJU Int 96(1):1–2
Binder J, Brautigam R, Jonas D et al (2004) Robotic surgery in urology: fact or fantasy? BJU Int 94(8):1183–1187
Herrell SD, Smith JA (2005) Laparoscopic and robotic radical prostatectomy: what are the real advantages. BJU Int 95(1):3–4
Roizen MF, Fleisher LA (2005) Anaesthetic implications of concurrent diseases. In: Miller RD (ed) pI033 in Millers anaesthesia, vol 1, 6th edn. Elsevier Churchill Livingstone, Philadelphia
Lee KL, Hsu TH (2004) Physiologic response to laparoscopic surgery: practical considerations. Contemp Urol 16:36–45
Costello TG, Webb P Anaesthesia for robot-assisted anatomic prostatectomy. Epworth Hospital, Melbourne (in press, personal communications)
Kavoussi LR (2001) Laparoscopic radical prostatectomy: irrational exuberance? Urology 58:503
Ahlering TE, Skarecky D, Lee D, Clayman RV (2003) Successful transfer of open surgical skills to a laparoscopic environment using a robotic interface: initial experience with laparoscopic radical prostatectomy. J Urol 170:1738–1741
Menon M, Tewari A, Peabody JO, Hemal AK et al (2004) Vattikuti Institute prostatectomy, a technique of robotic radical prostatectomy for the management of localized carcinoma of the prostate experience of over 1100 cases. Urol Clin N Am 31:701–717
Menon M, Tewari A, Hemal AK (2003) Vattikuti Institute Prostatectomy Team. Robotic radical prostatectomy and the Vattikuti Urology Institute technique an interim analysis of results and technical points. Urology 61(4 Suppl 1):15–20
Tewari A, Srivasatava A, Menon M (2003) A prospective comparison of radical retropubic and robot-assisted prostatectomy: experience in one institution. BJU Int 92:205–210
Costello AJ, Haxhimolla H, Crowe H et al (2005) Installation of telerobotic surgery and initial experience with telerobotic radical prostatectomy. BJU Int 96(1):34–38
Van Appledorn S, Bouchier-Hayes D, Costello AJ (2006) Robotic laparoscopic radical prostatectomy: refined set-up and procedural techniques after 150 cases. Urology 67(2):364–367
Pick DL, Lee DI, Skarecky DW et al (2004) Anatomic guide for port placement for daVinci robotic radical prostatectomy. J Endourol 18(6):572–575
Walsh PC (1998) Anatomic radical prostatectomy: evolution of the surgical technique. J Urol 160:2418–2424
Guilloneau B, Vallancien G (2000) Laparoscopic radical prostatectomy; the Montsouris technique. J Urol 163:1643–1649
Smith JA (2004) Robotically assisted laparoscopic prostatectomy: an assessment of its contemporary role in the surgical management of localized prostate cancer. Am J Surg 188(4 Suppl 1):63–67
Epstein JI, Partin AW, Sauvageot J, Walsh PC (1996) Prediction of progression following radical prostatectomy. A multivariate analysis of 721 men with long-term follow-up. Am J Surg Pathol 20:286
Trabulsi EJ, Guillonneau B (2005) Laparoscopic radical prostatectomy. J Urol 173:1072
Rassweiler J, Seemann O, Schulze M et al (2003) Laparoscopic versus open radical prostatectomy: a comparative study at a single institution. J Urol 169:1689
Kumar R, Hemal A, Menon M (2005) Robotic renal and adrenal surgery: present and future. BJU Int 96:244–249
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O’Malley, P.J., Van Appledorn, S., Bouchier-Hayes, D.M. et al. Robotic radical prostatectomy in Australia: initial experience. World J Urol 24, 165–170 (2006). https://doi.org/10.1007/s00345-006-0064-4
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DOI: https://doi.org/10.1007/s00345-006-0064-4