Da Vinci Prostatectomy

Da Vinci prostatectomy advantages include less blood loss during surgery and a shorter stay in the hospital. Originally a prostatectomy was performed as an open prostate surgery procedure. A large cut was made in the abdomen and the surgeon manually performs the surgery, with the incision being large enough to place both hands and surgical instruments and even more room so that the entire surgical area can be seen through the incision with the naked eye.
Dr. Bianco has experience with the open radical prostatectomy, laparoscopic prostatectomy, and the da Vinci prostatectomy.
Dr. Bianco has been researching the outcomes of prostate cancer surgery comparing the variables of modality of surgery and the number of surgeries the surgeon has performed.
When Dr. Bianco was with the Memorial Sloan-Kettering Cancer Center in New York City, he helped create nomograms to help determine patient outcomes. These nomograms helped determine what interventions would lead to the best outcomes for patients with prostate cancer, by placing specific data about each patient, the nomograms could show what the best course of action would be.

Da Vinci prostatectomy advantages also include the ability of the robot to remove the natural shaking movement of the surgeon’s hands. The controllers of the surgical instruments also allow for micro fine movement that helps Dr. Bianco to perform smooth and precise surgical action inside the surgical site.  Urological surgeons go through an extended learning curve, which is why it is important that your da Vinci prostatectomy should be performed by a urologist with experience in robotic surgery. When the prostatectomy starts Dr. Bianco drapes and prepares the abdominal area. He then marks the spots where the laparoscopic probes will be placed, while this is going on the patient is under anesthesia and sleeping peacefully. Once the sites are marked Dr. Bianco and his robotics team then make small holes and place the laparoscopic instruments into the abdomen and inflate the abdomen with gas which gives the instruments and camera plenty of room to move and easily see all of the organs.

Da Vinci prostatectomy advantages are a video camera with a magnified view, making all of the small organs, tissues, and nerve bundles much easier to see then with the naked eye. This magnified view greatly helps Dr. Bianco save the nerve bundles when he performs the nerve sparing prostatectomy. The other optical advantage is the 3D view of the surgical site. The da Vinci surgical robot includes a 3 dimensional view that gives Dr. Bianco the perception of depth as he moves around the surgical site and gripes, pulls, pushes, cuts, ties off, cauterizes, suctions, sutures, and releases all of the many critical tissues, organs, blood vessels and nerves to accomplish his goal of removing all of the cancer from the patient and optimizing the patients genitourinary capabilities.

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