Prostate Cancer Treatment – Laparoscopic Radical Prostatectomy
Prostate cancer, the malignancy of the cells of the prostate gland is incidentally poorly understood in many regards by the doctors and scientists that treat patients and carry out researches on the disease. However, this much they know: that the adenocarcinoma is curable, especially by prostatectomy, if the disease is caught and diagnosed in the early stages. But because of impotence, which is a regular side effect of standard radical prostatectomy, other improved techniques have been sought that offer better prognoses and fewer implications.
A laparoscopic radical prostatectomy for prostate cancer is one such procedure. Also referred to by the medical community as LRP, it is a new way to approach the prostate surgically with the intent to cure the disease, and also with the hope of reducing the risk of incontinence or impotence. One of the biggest merits of prostate cancer laparoscopic surgery is that it does not require a large incision. The procedure relies on modern technology, such as miniaturization, fiber optics, and the like, in order to remain a minimally invasive prostate cancer treatment. Interestingly, as opposed to being an entirely new form of surgery for the prostate, laparoscopic prostatectomy is really an improved form of the oldest treatment for prostate cancer ? standard radical prostatectomy.
Further to improve this treatment and its appeal for both doctors and their patients, LRP may be improved by assistance made available in robotics. An experienced surgeon for instance could make use of robotic assisted laparoscopic prostatectomy (RALP) to reduce positive surgical margins, principally when compared to radical retropubic prostatectomy (RRP) among patients with prostate. This way, it provides a relative risk reduction not less than 57.7%, which is incredible, but can still be better.
There are those who have argued the merits of robotic assisted laparoscopic prostatectomy as against the benefits of open radical prostatectomy. To that end, intense researches in urology are being carried out with no definitive data currently available. However, most people simply accept that the use of the laparoscope in prostate cancer treatment is superior to an open radical retropubic prostatectomy.
There is a long learning curve for the robotic procedure, estimated at about 60 cases to be performed by a surgeon before they are comfortable enough to carry on with it independently, while they will require close to 250 cases to become experts. With the surgery taking in the region of five hours or more for the average urologist without a bilateral lymph node dissection, compared to the 3 hours of open prostatectomy, it is not strange at all that some people would prefer the old way; but patients just want to get better without worrying about consequences after the treatment.
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