Prostate cancer: how to operate?

At this time, there are a number of methods of surgical treatment of prostate cancer. Many gravitate to the modern methods of operations using only small incisions and assistants used by the robots. Information about comparison of the effectiveness of this technique with conventional “open” surgery has begun to appear recently, she summarized 07tablets.

Surgery to remove tumors of the prostate using robots are now becoming a leading approach in the USA and gaining popularity in several other countries. However, until recently, did not have sufficient information about what are the dynamics of patients ‘ condition after surgery. This writes Dr. Declan John. Murphy (Dr Declan G. Murphy) from the McCallum Cancer Centre in Melbourne (Australia).

Laparoscopic surgery, the application of which the surgeon makes only small incisions, usually with a surgical robot was developed as a technique with a reduced risk of impotence and incontinence compared to conventional “open” surgery. But the result of a study of 9,000 men published in October 2009 showed that both operations are equally effective in the treatment of prostate cancer. Moreover, the risk of impotence and incontinence were higher in the endoscopic surgery.

In the new study, Murphy and his team have studied nearly 70 studies on operations with use of robots, writes the journal European Urology. Approximately 250 cases of intervention, the robot has malfunctioned and is not working as it should. There was also a lack of information about how patients recovered after surgery and what the long-term results in patients with an increased risk of developing cancer. Statistics showed a high incidence of complications, but the researchers add that the level of ROS in the standardized approach to report complications. The authors did not compare the incidence of complications in operations using robots and traditional method. Experts have done more than 20 transactions, can conduct interference faster than a car. This is a positive factor, because it leads to fewer complications. For the surgeon it is important to do more than 80 such operations to be sure that this procedure leaves no malignant tissue.

The study also showed that surgery using robots easier to implement and does not show better results in patients with an increased postoperative risk, such as obesity. The researchers also noted the high cost of studied technique that allows to introduce it everywhere.