I know we have cases here on HW where switches from robotic to open have been made , but I believe statistically they are rare. IT is probably more of a case where a surgeon with open experience just felt more comfortable. My surgeon never even mentioned the possibility, nor was it mentioned on the surgical release form.
Number 1, find a surgeon you are comfortable with.
Number 2, make sure he is experienced in his method, be it open or robotic.
Number 3, then go for it, and don't look back.
In my case, going to a major cancer such as Cleveland Clinic gave me great confidence just walking in their doors.
When I met the surgeon, he gave me such great confidence, that when we walked away, their was absolutely no doubt in my mind. He could have used a pen knife and I would have been ok. It was such an amazing calmness I felt.
With a Gleason 9 and having a .01 after 1 year, I still have that same feeling.
Good luck. Don'[t make it too complicated for yourself.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injection
No pads, 1/1/10, 9 month PSA < .01
1 year psa (364 days) .01