Case report demonstrates feasibility of remote robotic laparoscopic radical prostatectomy in localized prostate cancer, indicating potential for improved dexterity and tele-surgery.
Key Points
To evaluate the feasibility and applicability of a remote-controlled robotic system for performing laparoscopic radical prostatectomy.
Performed a robot-assisted laparoscopic radical prostatectomy on a 63-year-old male presenting with a clinical T1c prostate tumor, Gleason score 3+3, and preoperative PSA of 7 ng/mL.
Utilized a remote-controlled surgical robot to carry out all primary operative steps, with a bedside surgical assistant and nurse managing port access, suction, retraction, and specimen extraction.
The operative procedure took 420 minutes, the patient was discharged after 4 days, and full urinary continence was achieved 1 week following catheter removal on postoperative day 3.
Surgical pathology demonstrated a pT3a stage tumor with negative surgical margins alongside enhanced intraoperative dexterity and ergonomic control.