As I was just saying on the thread originally posted by LoveMyDad, I think that robotic surgery has the potential to
open the possibility of surgical removal of the cancer to people who, because of "medical difficulties sometimes encountered in advanced age," may not have been considered for surgery before. I think that, aside from anesthesia, the after-effects of radiation and hormone therapy sound a lot more chronically troubling than laparoscopic surgery. There was even, you should pardon my expression and no offense to him, an over-60 year-old "wild man" who posted on the Low Blow forum, hosted by www.msnbc.com, that he had had
open retropubic radical prostatectomy wide awake under SPINAL anesthesia. He said that he went back to work the next week.
If a person is not an anesthesia risk, and minds his doctor's and nurse's advice about
keeping his legs up and his TED hose on so that he doesn't get deep vein blood clots, and does his deep breathing exercises so that he doesn't get pneumonia (like I initially didn't and almost got and I'm 57), then I think robotic surgery would work well in the over 80 group. Like I said in the other thread, they do hip and knee surgery under general anesthesia in this group so what is the deal?
PSA (10/04): 2.9; PSA (2/06):4.4, on Androgel (serum T about 450) at age 56; negative DRE, no symptoms.
PSA (5/06):5.7 with a free PSA% of 8, OFF Androgel (serum T 163).
Biopsy (5/06): 4/12 samples positive; postitive samples only on right side; max Gleason 4+3=7 (in 2 of the 4 -from area nearest bladder.
DaVinci robotic-assisted laparoscopic radical prostatectomy + bladder lift + Right nerve plastic surgery (8/23/06).
Catheter out 4 weeks postop, due to internal pinhole leak at bladder-urethra junction.
Final pathology report:T2c-both sides,but in capsule; neg. margins, neg. lymph nodes, neg. seminal vesicles; final max Gleason still 4+3=7.
Follow-up PSA (11/06): <0.008; serum T: 195 OFF Androgel (at present).