Unlocking Precision: How Robotic Prostate Cancer Surgery is Transforming Treatment

by Dr Akash Shah, Consultant, Urologist and Uro- Oncosurgeon, Robotic and Laparoscopic surgeon, HCG Cancer Center, Borivali, Mumbai

Cancer that develops in the prostate is known as prostate cancer.  The gland known as the prostate is unique to men. It produces a portion of the fluid found in semen and also lubricates and alkanises the urinary tract which prevents Infection of the same. Prostate cancer is the most common cancer of Men. It shows quite a variability in presentation and progression. While in some patient it may progress slowly and remain confined to the prostate gland, posing minimal harm, in others it may exhibit aggressive behavior, and may rapidly spread to other areas if not treated at the right time. Treatment approaches may vary according to the stage of the disease.

In recent years, a notable advancement in prostate cancer management has emerged in the various form and advancement is not only in the form medical research but also surgical approach to Prostate Cancer treatment. It is in the form of a procedure known as robotic-assisted radical prostatectomy (RARP).Robot – assisted surgery has changed the paradigm in Management of prostate cancer and through this article let's look into the remarkable benefits of RARP, shedding light on its enhanced precision, minimally invasive nature, and positive impact on patient outcomes

Understanding Robotic-Assisted Radical Prostatectomy (RARP)

Robotic assisted radical prostatectomy is a minimally invasive surgical technique in which the prostate gland is removed as a whole with the help of a surgical robotic arms. During RARP, the surgeon controls robotic arms equipped with surgical instruments, while a 3D high-definition camera with magnification provides an enhanced view of the surgical site and its enhanced 540-degree rotation arm movements helps in excessive precision in performing the surgery.

How is the Robotic-Assisted Radical Prostatectomy (RARP) performed

In robot-assisted laparoscopic prostatectomy, surgical instruments are connected to a mechanical device (robot) and inserted into abdominal cavity through multiple small incisions(8mm and 5 mm). The surgeon operates from a console, using hand controls to maneuver the robot and instruments. This technique is commonly utilized for prostate cancer surgeries.

Advantages of Robotic-Assisted Radical Prostatectomy (RARP)

The robotic device allows a more precise response to movement of the surgeon's hands. Thus, it facilitates smaller and more precise movements, potentially leading to minimal surrounding tissue trauma and all of this being done in a smaller incision thus it helps in quicker recovery compared to traditional open surgery. The robotic approach allows for better nerve-sparing techniques of radical Prostatectomy, which can help preserve both sexual potency and continence in appropriately selected individuals

Robot-assisted prostatectomy can result in reduced pain and blood loss, reduced tissue trauma, a shorter hospital stays, and a quicker recovery period than a traditional prostatectomy. Thus, helping the patient early return to normal activity, with minor restrictions.

Who can opt for Robotic-Assisted Radical Prostatectomy (RARP)

Robotic prostatectomy is a viable treatment option for prostate cancer, particularly in its all-curable stages. The objective of the surgery is to eliminate all cancer cells by excising the entire prostate gland. Ideal candidates for this procedure typically meet the following criteria:

Diagnosis of localized prostate cancer and Selective locally advance Prostate cancer
Projected life expectancy of more than ten years
Overall good health status
The success rate of robotic prostatectomy is notable, with a low risk of complications and a high efficacy in removing cancerous tissue. While some patients may encounter side effects post-surgery, such as incontinence and impotence, these are typically temporary and can be effectively managed through Physiotherapy. As RARP surgery continues to evolve, it emerges as a preferred treatment option for many prostate cancer patients and has now become the gold standard.