I'm with Piano. No tube is the best tube, but I like natures tube, it was intended to be there. There are times when surgery is difficult regardless of modality. Dr Menon, has a couple reasons he knows a lot about
this. He was the very first robotic laproscopic surgeon. And when you are a pioneer, it's not always like Daniel Boone. I am sure there were lessons in the process. However, his great contributions are ever lasting. But again, regardless of modality, things can go awry. I have seen many cases here and it isn't predictable.
On the other robotic part. In
open surgery, a large gash is made for the surgeons access. In robotics, when this surgery is done, tiny holes are made for the arms of the robot and then the abdomen cavity is inflated so that the surgeon can view the field with a laproscopic camera. The advantage for
open is that a palpable tumor can be felt by a surgeons hands. The advantage of robotics is two fold ~ He can magnify the field of vision many times with clarity and in
locations he can't see otherwise. The second advantage is because the surgery is less invasive there is less blood loss. I don't buy arguments that the procedure doesn't remove enough tissue, but an inexperienced surgeon might. There are real times when a robotic procedure is aborted, and an
open procedure completed. Any patient that has had a previous abdominal surgery should ask about
this. Because of scarring, prosthetics, and many unknowns, it may be worthwile to fore go the robotic procedure in favor of an experienced
open surgeon. It is a matter of having the best guy for you, and this may be something to review. I personally had a great experience with the same doctor as DJ. Dr Wilson took extra care and time when he saw possible extraprostatic extension and he was right. The plumbing worked fine.
Again, the surgeon is more important than the modality. But they can be great robotic, laproscopic, or
open...and still have those rare cases where complications happen.
Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (September 17 '08): <0.1 ~ Undetectable!
You can visit my Journey at:
Tony's Prostate Cancer InfoLink Page
Post Edited (TC-LasVegas) : 1/6/2009 12:05:20 AM (GMT-7)