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Most Common Questions Is special training required to robotic surgery? Yes. Dr . Ramesh, was trained and certified as robotic surgeon at Roswell Park Cancer Institute, Buffalo, United states. The learning curve for robotic surgery is reduced for person who has done both open and laparoscopic surgery in past. Dr K. Ramesh has operated a number of laparoscopic urology procedures in Apollo hospitals, Chennai in the past with good results and without any complications. He has been commended for his performance by Dr . P C Reddy, chairman, Apollo Hospital group Am I a good candidate for robotic surgery? No, the risk of needing a blood transfusion is less than 1% Do I need blood transfusion? For the most part all patients that are candidates for standard open radical prostatectomy are good candidates for robotic radical prostatectomy. The only exception to this rule is for patients that have undergone extensive intra-abdominal surgery and patients with increased intracranial pressure. Does it hurt to have the foley catheter removed? Does robotic surgery cost more than open surgery? Yes. But we do have special pacakges for various robotic procedcures. This state of art technology is available here in Apollo Hospitals, Chennai at 1/5th of the cost incurred for the same procedure abroad. How long does the procedure take? As long as it takes to do a good job. Typically this takes about 2 and half hour to 3 hours. How long will I need to stay in the hospital?2 to 3 days How long will I need to wear the catheter? About 7 days. How soon can I return to work after robotic surgery? Usually after 2 weeks for office work and 4 weeks for work requiring strenuous activity. Is robotic surgery covered by insurance? Partly What are the disadvantages of robotic surgery? The main limitation of robotic surgery is a lack of tactile sensation. However, in most cases this does not affect the outcome of surgery since it is nearly impossible to feel the difference between cancerous and benign tissue. Why is robotic surgery better than the conventional open approach? Typically robotic surgery is associated with less risk of bleeding and a faster recovery. The magnification and surgical precision provided by the DaVinci surgical system help surgeons to more reliably remove all of the cancerous tissue without damaging the vital surrounding structures that are responsible for erections and urinary control. Will I be able to have a satisfying sex life after robotic prostatectomy? Robotic radical prostatectomy does not effect sensation or the ability to have an orgasm, but may limit the ability to have an erection. If a nerve-sparing procedure can be performed, approximately 75% of potent men under the age of 65 recover the ability to have sexual intercourse following robotic radical prostatectomy. Will I need additional treatments for my prostate cancer? That depends on the final histopathology report. Will I need to wear diapers after robotic prostatectomy? Most men will need to wear some kind of incontinence pad for a few weeks or months following robotic prostatectomy. About 50% of men are continent within 3 months, and 95% are continent within 1 year from the time of surgery What are the downsides to robotic prostatectomy? Does the robot ever malfunction? Is a malfunction dangerous? Can the machine go haywire on me? Chances are extremely low. It is not dangerous to the patient as surgery can be completed laparoscopic ally or open. Can I have robotic prostatectomy after TURP? Yes When can I have robotic prostatectomy after my prostate biopsy? Chances are extremely low. It is not dangerous to the patient as surgery can be completed laparoscopic ally or open.
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Robotik cerrahi ile daha az kan kaybı. Robotik radikal prostatektomi operasyonlarında batın gazla şişirilmektedir. Bu gaz basıncından dolayı kanamalar oldukça azalmaktadır. Operasyonun bitiminde gaz batından boşaltılmaktadır. Ayrıca 3 boyutlu yüksek çözünürlüklü ve operasyon alanını büyütebilen kameralar yardımı ile kanamalar daha net olarak görülebilmekte ve erkenden durdurulabilmektedir. Genellikle hastalara kan nakli yapılmamaktadır. Robotik Cerrahi ile daha az hastanede kalış süresi. Robotik cerrahide ameliyat kesilerinin daha küçük olması ve kan kaybının çok daha az olması nedeniyle hastalar açık operasyonlara oranla daha erken hastaneden taburcu edilebilmektedir. Robotik Cerrahi ile daha kısa sonda süresi. Robotik prostatektomi ameliyatında idrar kesesi ile idrar yolunun birbirine su geçimez şekilde dikilebilmesi ( anastomoz ) nedeniyle sonda denilen kateter 6-7 gün içerisinde alınabilmektedir. Robotik cerrahi ile daha az ağrı. Yara kesilerinin daha küçük olması nedeniyle hastalar açık operasyonlara oranla daha az ağrı hissetmektedirler. Daha iyi kanser kontrolü. 3 boyutlu yüsek çözünürlüklü görüntü ve 7 derece hareket edebilen enstrümanlar yardımı ile cerrah robotik prostatektomide kanserli prostat dokusunu daha net olarak görüp disseke edebilmektedir. Robotik cerrahide prostatın apikal bölgesi çok daha iyi ve net bir şeklide görülmekte ve kesilmektedir. Bunun neticesinde cerrahi sınır pozitiflikleri önemli ölçüde azalmaktadır. Robotik cerrahi ile daha iyi idrar kontrolü. Robotik prostatektomide açık radikal prostatektomiye oranla idrar kontrolü daha erken sağlanmaktadır. Görüntünün daha iyi olması, daha az kanamanın olması ve daha uzun bir üretral uzunluğun bırakılabilmesi idrar kontrolünün erken oluşmasını sağlayan etkenlerdir. Robotik cerrahi ile daha erken cinsel yaşama dönüş. Uygun hastada prostat civarındaki sinir-damar demetinin korunması, robotik prostatektomide daha iyi yapılabimekte ve cinsel yaşam bu hastalarda daha erken normale dönmektedir.