Sunday, May 9, 2010

Laparoscopic radical prostatectomy

Laparoscopic radical prostatectomy (LRP) is one of prostate cancer treatment management. It is not really a new method, laparoscopic radical prostatectomy is a modern form of the oldest treatment for prostate cancer. Unlike open surgical form, this method does not make a large incision. Instead, laparoscopic radical prostatectomy is minimally invasive and relies on modern technologies, such as fiber optics and miniaturization.


In Laparoscopic radical prostatectomy, it’s done by make four or five very small incisions (about a half inch each) in the abdomen. Through each incision, the surgeon inserts a narrow instrument with tiny cameras and/or surgical tools attached to the end, allowing the surgeon to visualize and operate on the internal structures without cutting open the entire abdomen. Further refinements on this technique led to the development of a robotic interface, where the surgeon maneuvers the robot’s arms, which in turn control the cameras and instruments inserted in the abdomen effectively performing the operation via remote control.

The benefits of laparoscopic surgery are obvious: smaller incisions and less invasive surgery leads to less blood loss and shorter hospitals stays. There is also very little pain because of the minimal nature of the physical access. In some hands the average analgesic use is two Tylenol in the first twenty four hours.
However, because this type of procedure is far more challenging than the standard open prostatectomy, since surgical skill for this method become even more important.

If laparoscopic surgery is performed by an experienced, well qualified surgeon, the outcomes can be as good as traditional open surgery, and, in some cases, even better because it is less invasive. But if you don’t feel comfortable with the procedure, remember that the decision about whether to undergo laparoscopic surgery with or without robotic assistance vs traditional surgery is yours and yours alone.

Main Article: Radical Prostatectomy

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