Atlas of Robotic Prostatectomy

By Hubert John

In many centers of excellence in Urology, robotic prostatectomy has become the first choice for the surgical treatment of localized prostate cancer owing to benefits such as reduced pain and minimization of impotence and incontinence. This atlas, specifically designed for use by surgeons, provides a beautifully illustrated, step-by-step guide to all aspects of the procedure. The various techniques that can be employed to achieve excellent oncological and functional results are carefully depicted in appropriate detail; for example, nerve-sparing techniques, bladder neck reconstruction, and approaches aimed at the early restoration of continence are clearly described. Special situations, such as prior prostate surgery, a large prostate, and salvage prostatectomy, are also fully covered. The information contained in this atlas will be of great value in enabling surgeons to improve their results and to take full advantage of the benefits of robotic prostatectomy compared with open prostatectomy.

• Language: English
• Publisher: Springer
• Release date: Aug 20, 2012
• ISBN: 9783540884088

Book preview

Hubert John, Peter Wiklund and Jorn H. Witt (eds.)Atlas of Robotic Prostatectomy201310.1007/978-3-540-88408-8© Springer-Verlag Berlin Heidelberg 2013

Editors

Hubert John, Peter Wiklund and Jorn H. Witt

Atlas of Robotic Prostatectomy

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Editors

Hubert John

Department of Urology, Kantonsspital Winterthur, Winterthur, Switzerland

Peter Wiklund

Department of Urology, Karolinska University Hospital, Stockholm, Sweden

Jorn H. Witt

Department of Urology and Pediatric Urology-Prostate Center Northwest, St. Antonius-Hospital, Gronau, Germany

ISBN 978-3-540-88407-1e-ISBN 978-3-540-88408-8

Springer Heidelberg New York Dordrecht London

Library of Congress Control Number: 2012942178

© Springer-Verlag Berlin Heidelberg 2013

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Foreword

It is just 20 years after the first publication of laparoscopic radical prostatectomy by William Schuessler, Ralph Clayman, and Louis Kavoussi in the United States, where the authors stated that this procedure would be too difficult to perform. Only five years later, Richard Gaston, Bertrand Guillonneau, and Guy Vallancien were able to demonstrate the feasibility of the laparoscopic approach mainly because they used an antegrade technique. It took then only three years for Jochen Binder and Claude Abbou to demonstrate the advantages of the da Vinci ® system for this procedure. However, it became again necessary to transfer the technique back to the United States to Mani Menon to initiate a surgical revolution which is still taking place in Europe.

Compared to my initial experience as retracting assistant in the early 1980s, when retropubic radical prostatectomy represented a bloody, long-lasting operation done only by the head of the department and his chief-nurse, it is fascinating how video-endoscopic technology has completely transformed the procedure into a bloodless, well-standardized operation where everyone is able to watch every detail of the dissection. Of course, there are many factors that contributed to this success, such as increasing surgical experience, improved knowledge and appreciation of anatomical details, and, last but not least, robotic assistance providing magnification, 3D visualization, and almost unrestricted dexterity in the pelvis.

Therefore, I am sure that it is exactly the right time for this atlas highlighting all important steps of the procedure using state-of-the-art video technology including 3D animations. This will provide a solid basis for the next generation of surgeons who definitively have to learn the robotic technique. Even if some conservative urologists still believe that the open retropubic radical prostatectomy will survive, the train has already left the station….