Robotic radical prostatectomy has been the most common method of treatment for early prostate cancer. In the last decade, surgical treatment of prostate cancer has evolved from open retropubic radical prostatectomy to minimally invasive radical prostatectomy.
Laparoscopic radical prostatectomy has a step learning curve but in the hands of an experienced surgeon, the results as just as good as robotic prostatectomy. Robotic prostatectomy on the other hand, has a shorter learning curve. However, there is the inherent capital cost burden of the purchase of a robotic system.
The following review article by Skarecky reviews the technical aspects of the evolution of radical prostatectomy surgery in the last 10 years. It gives a very detailed account of a technique adopted by one of the pioneer centers for robotic prostatectomy surgery.
Department of Urology, University of California, Irvine, CA 92697, USA
We look forward to the next 10 years of rapid development in the treatment of early prostate cancer and the possible emergence of robotic radical prostatectomy being the standard of care for this disease.
In Singapore, there are 3 centers in restructured hospitals and Mount Elizabeth Hospital (Orchard and Novena) in private practice offering robotic radical prostatectomy. The newly opened Mt Elizabeth Hospital houses the newer 4 arm da Vinci robotic system.