Robot assisted radical prostatectomy: how I do it. Part II: Surgical technique

Area of Science:

• Urology
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• The da Vinci Robotic Surgical System represents a significant advancement in minimally invasive surgery.
• Key technological features include 3D vision, wristed instruments, tremor filtration, magnification, and ergonomic surgeon positioning.
• These features enhance the surgical procedure for both the patient and the surgeon.

Purpose of the Study:

• To describe a standardized 9-step surgical technique for robot-assisted radical prostatectomy (RARP).
• To detail the application of the four-arm da Vinci Surgical System in RARP procedures.

Main Methods:

• The article outlines a specific 9-step surgical technique for RARP.
• The technique is employed at the University of Montreal Hospital Center (CHUM) - Hopital St-Luc.
• The da Vinci Surgical System with a four-arm configuration is utilized.

Main Results:

• The institution has accumulated over 250 RARP cases.
• The senior surgeon has performed more than 1200 RARP procedures.
• Continuous refinement of the technique aims to optimize patient outcomes.

Conclusions:

• Robot-assisted radical prostatectomy is an established minimally invasive approach.
• The described 9-step technique provides a standardized method for RARP.
• Ongoing refinement of RARP techniques contributes to improved patient results.