This is a surgical method used in prostate cancer treatment when the cancer is confined within the prostate gland. During the operation, the prostate gland and seminal vesicles are removed entirely, and the bladder is then reconnected to the urethra.
The Da Vinci robotic system gives the surgeon a three-dimensional view magnified tenfold and instruments that rotate through a wider angle than the human wrist. This allows the neurovascular bundles around the prostate to be preserved with millimetric precision, shortening the time to regain urinary control and sexual function.
Diagnosing prostate cancer involves evaluating PSA level, clinical examination findings, prostate biopsy and imaging together. The tumor's location within the prostate, whether it has spread beyond the capsule, and lymph node involvement are analyzed in detail to determine the disease's stage.
This evaluation process guides the suitability of robotic surgery and the scope of the surgical plan.
Robotic surgery for prostate cancer allows more precise intervention on the nerve and vessel structures around the prostate thanks to high-resolution 3D visualization and enhanced surgical dexterity. This allows the surgical procedure to be performed in a more controlled and safe manner.
The robotic approach can provide advantages such as less bleeding, a shorter hospital stay and a faster recovery. With proper patient selection, the aim is to preserve functional outcomes alongside oncologic control.
After surgery, patients are placed on a regular follow-up program. The course of the disease is closely monitored with PSA checks, clinical assessments and necessary imaging. Supportive or complementary treatment approaches may be planned if needed.
The main goal of the treatment process is to effectively control the cancer, reduce the risk of recurrence and preserve the patient's quality of life.
| Open surgery | Laparoscopic | Robotic | |
|---|---|---|---|
| Incision | A single 12–15 cm incision | 5 × 1 cm | 5–6 × 8 mm |
| Blood loss | High | Medium | Low |
| Hospital stay | 4–6 days | 2–3 days | 1–2 days |
| Vision | Direct visualization | Two-dimensional screen | Three-dimensional view with 10x magnification |
| Nerve-sparing precision | Limited | Good | Highest |
