title: Robotically assisted laparoscopic radical prostatectomy: feasibility study in men.
abstract: OBJECTIVE
  We report our early experience of robotically assisted laparoscopic radical prostatectomy.
  
  
  METHODS
  Five consecutive patients, with an average age of 58 years, PSA 12, 1.6 positive biopsies, Gleason score 6, were operated in our institution over a period of 1 week by the same surgeon. A robotically assisted laparoscopic nerve sparing radical prostatectomy was performed according to the Montsouris technique with the Da Vinci robot (Intuitive Inc., Mountain View, Calif., USA).
  
  
  RESULTS
  The mean installation time was 93 min (range 76-149). The mean operating time (starting at the dissection of the seminal vesicles until the final stitch of the anastomosis) was 222 min (range 150-381 min). The average blood loss was 800 cm(3) (range 700-1,600 cm(3)). No postoperative complications were seen. Bladder catheter time: 6.5 days, hospital stay 5.5 days, urine leak 1/5, continence 4/5, positive margin 1/5.
  
  
  CONCLUSIONS
  After this short experience, we conclude that: The use of a tele manipulation system accompanied by a three-dimensional view of the operating field provides a real benefit for the surgeon, and the urethro-anastomosis is easier to perform. The benefit for the patient is presently not very clear in terms of operating time, postoperative course and functional results, our initial results show that the robotically assisted procedure is at least as safe and effective as the conventional laparoscopic procedure.
authors.affiliation: Department of Urology, Institut Mutualiste Montsouris, University Pierre and Marie Curie, 42 Boulevard Jourdan, F-75014 Paris, France.
authors.forename: G
authors.initials: G
authors.lastname: Pasticier
authors.forename: J B
authors.initials: JB
authors.lastname: Rietbergen
authors.forename: B
authors.initials: B
authors.lastname: Guillonneau
authors.forename: G
authors.initials: G
authors.lastname: Fromont
authors.forename: M
authors.initials: M
authors.lastname: Menon
authors.forename: G
authors.initials: G
authors.lastname: Vallancien
mesh_terms: D004867:Equipment Design; D005240:Feasibility Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000295:instrumentation* / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D012371:Robotics