Open Access

HOW I DO IT

Robot assisted radical prostatectomy: how I do it. Part II: surgical technique

Roger F. Valdivieso, Pierre-Alain Hueber, Kevin C. Zorn

University of Montreal Hospital Center (CHUM) - Hopital St. Luc Montreal, Quebec, Canada
Address correspondence to Dr. Kevin C. Zorn, University of Montreal Health Center (CHUM), 235, boul. René-Levesque Est, suite 301, Montreal, QC H2X 1N8 Canada

Canadian Journal of Urology 2013, 20(6), 7073-7078.

Abstract

The introduction of the “da Vinci Robotic Surgical System” (Intuitive Surgical, Sunnyvale, CA, USA) has been an important step toward a minimally invasive approach to radical prostatectomy. Technological peculiarities, such as three-dimensional vision, wristed instrumentation with seven degrees of freedom of motion, lack of tremor, 10x magnification, and a comfortable seated position for the surgeon, have added value to the procedure for both the surgeon and the patient. In this article, we describe the 9-step surgical technique for robot-assisted radical prostatectomy (RARP) that is currently used in our institution (University of Montreal Hospital Center (CHUM) – Hôpital St-Luc). We use the four-arm da Vinci Surgical System. Our experience with RARP now exceeds 250 cases, with the senior surgeon having performed over 1,200 RARPs, and we have continually refined our technique to improve patient outcomes.

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