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Robotic-Assisted Radical Prostatectomy: The Technique

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Prostate Cancer: A Comprehensive Perspective

Abstract

Robotic-assisted radical prostatectomy (RARP) using the da Vinci® surgical platform has become very popular in recent years, accounting for over 70 % of all radical prostatectomies performed in the United States in 2008 [1, 2]. Its postulated advantages over the conventional open approach include better intraoperative dexterity and visualization of periprostatic tissue architecture with up to 12-fold optical magnification for the surgeon, while patients experience less intraoperative blood loss, less painful recovery, and shorter hospital stays [3]. However, despite innovations in surgical techniques, surgeons are still faced with the daily dilemma of balancing complete cancer clearance while striving for potency preservation during surgery. In several series, 20–50 % of patients still remain impotent at 1 year following nerve-sparing radical prostatectomy (RP) [4–6].

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Correspondence to Ashutosh K. Tewari M.D., MCh .

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Chopra, S., Srivastava, A., Sooriakumaran, P., Tewari, A.K. (2013). Robotic-Assisted Radical Prostatectomy: The Technique. In: Tewari, A. (eds) Prostate Cancer: A Comprehensive Perspective. Springer, London. https://doi.org/10.1007/978-1-4471-2864-9_58

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  • DOI: https://doi.org/10.1007/978-1-4471-2864-9_58

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  • Online ISBN: 978-1-4471-2864-9

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