Robotic Prostatectomy For Localised Prostate Cancer : An Overview For The Non Specialist

A major political and economic issue that is closely tied with robotics in surgery and healthcare is the rising costs of healthcare. Ethically it is in the best interest of the technical and medical communities to provide services to customers and patients at a fair and balanced price. On average robotic surgical systems cost

Ben-Or, S., Nifong, W., & Chitwood, W. (2013). Robotic Surgical Training. The Cancer Journal, 19(2), 120-123.

Al). This includes the increase in dexterity, the restore of proper hand-eye coordination, and improvement of visualization (Meyers et al.). In Cameron Scott’s article from the Healthline News, “Is da Vinci Robotic Surgery a Revolution or a Ripoff?,” he states that robotic devices including the da Vinci surgical device succeeds well in urology and the removal of prostate. Prostate removal is extremely difficult for open surgery practice, however the da Vinci made is easier with about 90 percent of these kinds of surgeries are now done robotically (Scott). Some evidence even suggest that with robotics used in prostatectomy, there is less blood loss, faster recovery, and fewer internal scarring (Scott.). There are many other examples from hospitals and manufactures that support the uses of robotic surgery and its benefits. However, even though these new technologies of robotic devices are supposedly be helping patients and making surgeries less invasive, they are still many concerns of how they should be properly regulated.

Imagine a place where robots can not only decrease mistakes, but it can also save many lives during dangerous and high risk surgeries. I have had friends and family have these procedures done, and it was helpful and successful. Telerobotic surgeries are helpful, it prevents less to no mistakes, less deaths, and makes procedures easier.

Robot-assisted laparoscopic prostatectomy is a minimally invasive procedure to remove the entire prostate gland and the seminal vesicles. This procedure is done to treat prostate cancer that has not spread to other parts of the body (metastasized). The goal of the procedure is to remove all cancer cells and to prevent prostate cancer from metastasizing.

Journal Article Critique: “Increasing Hospital Admission Rates for Urological Complications After Transrectal Ultrasound Guided Prostate Biopsy”

Robotic-assisted hysterectomy has gained widespread acceptance in many centers since U.S. Food and Drug Administration approval in 2005. Several reports on the early experiences with robotics for endometrial cancer surgery suggest potential advantages over traditional laparoscopic surgery, including improved surgeon ergonomics, high-definition three dimensional visions, and wristed instrumentation that improves surgical precision.10The overall postoperative morbidity and complications inherent in both techniques are nearly the same

The 21st century can rightfully be considered as the era of technology when the new inventions and discoveries will most likely affect all the segments of human life. At this point, some of the breakthrough inventions of our times have been in the medical field. Robotic surgery has become an almost common practice in the advanced medical world and new uses for robotic assisted surgery are everyday set in place. However, such developments also attract different interests and implications.

That being said, the particular treatment I believe to be most effective would be a radical prostatectomy. It is a very aggressive action to take but the procedure itself is minimal. It is precise to attack the cancer and the ability to remove the cancer in its entirety if it is caught in time. The open approach to radical prostatectomy was a radical retropubic prostatectomy or a radical perineal prostatectomy. This

The risk of prostate cancer is the greatest for American males. The symptoms of prostate cancer are; frequent urination especially at night, difficulty starting urination or holding back urine, weak or interrupted flow of urine, painful or burning urination, difficulty having an erection, painful ejaculation, blood in urine or semen, and frequent pain or stiffness in the lower back, hips, or upper thighs. Prostate cancer is diagnosed by digital rectal examination, prostate-specific antigen blood test, and transrectal ultrasound. Also, tissue biopsy, microscopic examination, lymphography, bone scans, MRI and CT scans are used to confirm a diagnosis. Prostate cancer is treated is based upon the stage of the disease. Some of the various treatments

About 1 in every 7 males will be diagnosed with prostatic carcinoma, or prostate cancer, in their lifetime (American Cancer Society, 2015). This scary statistic proves just how serious prostate cancer is. According to the American Cancer Society, an estimated 180,000 cases of prostate cancer are diagnosed in the United States. Of the 180,000, 32,000 result in death from the disease each year (American Cancer Society, 2015). This paper will explore what prostate cancer is, the diagnosis process, and possible treatment options for the disease.

Two recent studies have suggested that Oncotype Dx can predict adverse pathology and unfavorable outcomes after radical prostatectomy. In both of these studies, multiple authors are either employed by the manufacturer of the test or have a financial interest. These studies are recently published and need continued validation prior to widespread clinical use. The medical literature is still insufficient to conclude that the use of this test for decision making after prostate biopsy yields improved

The Da Vinci Surgical System is a large purpose-built robot controlled by a surgeon that performs minimally invasive surgical procedures on patients. The system incorporates an ergonomically designed surgeon's console, a patient-side module with four interactive robotic arms, each with interchangeable surgical instruments and a 3-dimensional endoscopic vision system. Powered by high-tech supercomputers, the surgeon's hand movements are scaled, filtered and then converted into precise movements of the surgical attachments. The designers of the system are a team of doctors, engineers and biomedical engineers at a company called Intuitive Surgical.

Technology is transforming the medical field with the design of robotic devices and multifaceted imaging. Even though these developments have made operations much less invasive, robotic systems have their own disadvantages that prevent them from replacing surgeons all together. Minimally Invasive Surgery (MIS) is a broad notion encompassing a lot of common procedures that existed prior to the introduction of robots. It refers to general procedures that keep away from long cuts by entering the body through small, usually about 1cm, entry incisions, through which surgeons use long-handled instruments to operate on tissue inside the body. Such operations are directed by viewing equipment and, therefore, do not automatically need the use of a robot. Yet, it is not incorrect to say that computer-assisted and robotic surgeries are categories that fall under minimally invasive surgery (Robotic Surgery, n.d.).

The beginning use of surgical robots within medical setting benefits the surgeon as well as the patient; it gives the da Vinci Surgical System a bright future within today’s society.