I had a consult with Dr. Joseph Smith of Vanderbilt today. He has performed over 2000
open and since switching has performed over 3000 robotic. He was not a fan of robotic early on. He is now. I specifically ask him the "feel" question. He stated that NO surgeon can feel micro structure. He has been on the podium speaking at same conferences as Pat Walsh and has heard Walsh say feel is important. Again he stated the you cannot feel mico structures. He believes this is just
open surgeons holding close to what they know for procedures. He too is one of the TOP in this field and has done MANY of both. He now is convinced of the advantages of robotic. I found this statement by Dr. Joseph Smith at Vanderbilt.
"I almost exclusively do robotic prostatectomy now because I think that, despite this manuscript, there is clear evidence that it is comparable, in terms of continence, potency and tumor control,” said Dr. Joseph Smith, the chairman of urologic surgery at Vanderbilt University School of Medicine.
This is from the following article: http://www.nytimes.com/2009/10/14/health/research/14prostate.html
He was referring to the study of more complications with laporoscopic He points out the study included both traditional laporoscopic and robotic and is thus tainted. He also holds to the idea.. find a good surgeon.. and let him do the procedure he is most comfortable with.
So we can conclude that experts disagree.
Age 55, PSA = 4.97 on 11/17/09, DRE negative,
Biopsy 12/2/09: 1 of 12 cores positive with less than 5% volume
Gleason 3 + 3 = 6
Prostate Size Estimate on 12/2/09 = 28 cc
Post Edited (RickyD) : 1/19/2010 1:04:40 AM (GMT-7)