Robotic Cystectomy for Bladder Cancer Treatment

For most bladder cancers, surgery is a big part of the treatment. Depending on the stage of the cancer, the type of surgery required depends upon the stage of cancer. When the bladder cancer has progressed to an advanced stage, a part of or the complete bladder may need to be removed. This type of surgery is known as Cystectomy.

bladder reconstruction surgery

Types of Cystectomy

Following are the main types of Cystectomy procedures:

1. Partial Cystectomy: This type of procedure can be done for those cases in which the cancer is not very large and present only in a single site. In such a case, just the cancerous portion along with a small part of the bladder can be removed instead of the whole bladder.

As a result, the patient can keep his bladder and doesn’t require any reconstructive surgery. Though, due to the removal of bladder portion, the amount of urine it can hold is less, leading to the issue of frequent urination. An important point to note about partial cystectomy is that there are chances of the cancer developing in another part of the bladder wall.

2. Radical Cystectomy: When the cancer is large or has spread to more than one parts of the bladder, radical cystectomy operation is required. In this, the entire bladder and nearby lymph nodes are removed. Additionally, the prostate and seminal vesicles in men and the ovaries, fallopian tubes, uterus, cervix, and a small portion of the vagina in women may also have to be removed.

Both open as well as laparoscopic (keyhole) surgeries can be opted for a cystectomy, however, the advantages of laparoscopic are definitely higher.

Robotic Radical Cystectomy

Laparoscopic surgeries have been preferred by surgeons and oncologists for the last many years due to their minimally invasive and nerve-sparing features. With the advent of robotic surgery in the last decade, minimally invasive surgery has been propelled to an even higher level. While the traditional open surgeries would lead to significant blood loss, increased risks and complications, and tissue and nerve damage, robotic surgeries have overcome these disadvantages.

Robotic radical cystectomy, done is most of the robotic surgery centres using the da Vinci surgical method, is an advanced and more efficient method of surgery for bladder cancer. The surgeon controls the robotic arms to conduct a more precise and effective surgery. To learn more about how robotic surgery works, please click here.

Advantages of Robotic Cystectomy

The robotic surgery for bladder cancer has the following main advantages over open surgery:

1. Smaller incisions that do not damage that delicate nerves and muscle tissues.
2. Smaller scars
3. Lesser pain
4. Lesser blood loss
5. Faster recovery time leading to shorter hospital stay
6. Lesser risk of post-operative risks and complications

It is important to note that any type of surgery has inherent risks and side-effects, however, with robotic surgery, these complications can be greatly reduced.

To learn more about the possible treatments for bladder cancer and other bladder related issues, please contact our experts here.

Why You Should Opt For Robotic Radical Prostatectomy

Radical Prostatectomy is the operation done to remove the prostate gland and nearby tissue in order to remove prostate cancer. Earlier, the prostatectomies were done using open surgeries, but with the modern advances in the field of surgery, laparoscopic surgeries (also known as minimally invasive surgeries or keyhole surgeries) have become the more preferred and common type. And even though there always are certain risks involved when it comes to surgery, for prostate cancer surgery turns out to be the most effective type of treatment as it removes malignant tumors without producing the painful side effects of radiation therapy or chemotherapy.

During the last decade, robot-assisted prostatectomy procedures have vastly outnumbered the open radical prostatectomy surgeries. In fact,according to a study conducted in 2013, robot-assisted prostatectomies accounted for around 85% of all radical prostatectomies (compared to just 22% in 2003).

Here are some of the main reasons why both surgeons and patients prefer robotic surgery for prostate cancer over the open surgeries.

robotic radical prostatectomy

Benefits of Robot Assisted Radical Prostatectomy

Some of the most notable advantages of robotic prostate cancer surgery include:

    • Better Results

Robotic surgical systems like the da Vinci system (also used at Centre for Robotic Surgery), are known to provide better clinical results for prostate cancer surgery as compared to other traditional procedures. This is since such a robotic surgical system offers the surgeon with more degrees of freedom than a human hand and magnified 3-D image of the ongoing procedure, as well as enables the surgeon to make much more precise movements inside the incision than they ever could on their own.

As a result, the efficiency and ease of robotic radical prostatectomy is far higher compared to non-robotic surgeries, and it also reduces damage to the healthy tissue and scar tissue build up. Therefore, the overall clinical results are far superior in a robotic prostatectomy.

    • Lesser Complications

While any prostatectomy is not completely safe, the risk of complications is much less in a robot-assisted radical prostatectomy than in other types. The development of infection at the incision site, which is a primary cause of delayed recovery, is more common with open surgeries compared to robotic.

The surgical systems such as the da Vinci surgical system requires only four to five incision which are smaller than two inches; while other traditional open surgeries require bigger, six-to-eight inch incisions instead. As a result, the chances of post-operative infections are much higher in non-robotic surgeries.

    • Quicker Recovery

The use of robotic surgical systems has many benefits, chief of those being smaller incisions, less number of sutures, more effective removal of cancerous tissue, less damage to the healthy tissue, minimal bleeding, and reduced contact between the incision walls and the surgical instruments. All these benefits translate directly into a speedier and more hassle-free post prostatectomy recovery of the patient.

    • Minimum Scarring

Apart from the obvious aesthetic benefit, minimum scarring caused by robotic surgeries also ensures better healing. This is because in certain rare cases, open surgeries can lead to excess scar-tissue build up, which can affect the normal functioning of the prostate.

And therefore, among the various prostate cancer treatment options, robotic radical prostatectomy has fast become a top choice for both doctors and patients. To learn more about prostate cancer, outcomes of robotic prostatectomy, post-operative care, etc., click here.

Prostate Cancer Treatment in India

For Prostate cancer treatment robotic surgery is a common choice to try to cure prostate cancer if it is not thought to have spread outside the gland (stage T1 or T2 cancers).

The main type of robotic surgery for prostate cancer is known as a radical prostatectomy surgery. In this operation, the surgeon removes the entire prostate gland plus some of the tissue around it, including the seminal vesicles. A radical prostatectomy can be done in different ways.

A less invasive surgical option – Laparoscopy is available for urologic surgery that uses small incisions. But, due to some the limitations of laparoscopy procedures it is not suggested
for more complex urologic surgeries.

One of the most modern and effective way of surgery is robotic radical prostatectomy surgery. It is a minimally invasive approach, using the latest Da Vinci Robotic Surgical System and
it is ideal for delicate urological surgeries.

Prostate Cancer Surgery
Robotic Surgery in India

Advantages of Robotic Prostatectomy:-

Robotic Prostate Surgery:

Clinically Superior Results
Reduced Risk of Complications
less post operative pain
Less Scarring
Less blood loss
A shorter hospital stay
Erectile Function
Faster recovery and return to normal activities
Fater return of urinary continence

Dr. Mahesh desai is the head of robotic surgery for prostate, kidney and urinary bladder cancer at Muljibhai patel urological hospital ( Centre for Robotic Surgery) in India. He is Top Urologist in world. It is the first super specialty hospital in India dedicated to Urology. We serve our patients for more than 35 years and we are popularly known as “Nadiad Kidney Hospital in India”.

Benefits of Robotic Surgery for Prostate (Prostatectomy) Cancer

Robotic Surgery has revolutionized the medical field by storm. This surgery is gaining immense popularity for prostatectomy, hysterectomy, and heart related diseases. It is a minimally invasive surgery performed by a robot, wherein the systems are controlled by the surgeon and his/her movement’s are translated in the computer and further carried out by the robot on patients. Here, the robotic arms are attached to long instruments and are placed through small keyhole openings in the patient’s abdomen instead of the surgeon’s hands.

Though, the robot performs the operation but the entire process is actually controlled by the surgeon, which includes handling the forceps with the help of ‘master control’. The surgeon monitors the robot’s work and every movement step by step. Da Vinci Surgical System – state-of-the-art technology is used for this surgery. Continue reading “Benefits of Robotic Surgery for Prostate (Prostatectomy) Cancer”