Robotically-assisted laparoscopic surgery

The latest method of robotic surgery uses a ‘Da Vinci’® robot. It uses similar techniques to the laparoscopic method, except that the operation is performed by the surgeon from a remote console, using both rotating handles and foot pedals to remotely control the five arms of the robot. The surgeon is assisted by a team of theatre nurses at the operating table.

Unlike laparoscopic equipment, the machine gives 3D vision and control of tremor. The learning curve for the surgeon is shorter than for a standard LRP procedure. More and more centres are investing in this highly expensive equipment. Results so far are proving as effective as, but no better than, the other two methods. In 2014 the majority of radical prostatectomies (56%) were done using this method.

The robotic arms The surgeon's console