Dr. Saidi has expertise in robotic assisted laparoscopic surgery: minimally invasive surgery for removal of the prostate following early diagnosis of prostate cancer
Laparoscopic surgery offers numerous advantages over traditional open surgery for prostate cancer including less blood loss, less post-operative pain, a shorter hospital stay, a shorter duration of bladder catheterization post-operatively, quicker recovery, and smaller incisions. Robotic assisted laparoscopic surgery offers the added benefits over standard laparoscopy of improved visualization (3-D) and increased range of motion of the instruments.
Robotic assisted laparoscopic radical prostatectomy or daVinci prostatectomy (named after the company Intuitive's daVinci surgical system) has revolutionized the treatment of prostate cancer. Patients who undergo this treatment get the same potentially cancer curing treatment without compromise, lose less blood, recover much quicker and may have better nerve sparing due to superior visualization that the magnified 3-D system affords. (Nerve sparing is important for return of erectile function which is impaired early on after prostate cancer surgery.)
The two most remarkable qualities of the daVinci system are the visualization and the articulating motion of the instrument tips. Three-dimensional visualization is accomplished because two telescopes are used (one for each eye.) The scopes are small and side-by-side and are accompanied by a light source all of which fit, as one device, through a single 12mm laparoscopic port placed at the umbilicus (navel.) Each scope transmits an image separately to a small video screen for each eye. The video screens are situated at the surgical console where the surgeon sits to perform the procedure. At the console, the surgeon manipulates master controls whose movements are translated identically by the tips of the instruments which are positioned in the patients abdomen through the surgical incisions. In standard (non-robotic) laparoscopic surgery, the surgeons movements are restricted by the non-articulating tips of the rigid instruments, but with the daVinci system the instruments have joints at the tips which allow movements that precisely mimic the movements of the surgeons hand, allowing for outstanding fine control and superior technical ability.
A typical daVinci prostatectomy patient can expect an operation of 2-3 hours duration, a hospital stay of less than 24 hours, indwelling bladder catheter time of 7 days, minimal use of narcotic pain relievers, 5-6 very small incisional scars, and return to usual activities in 2-3 weeks. He will be cancer free in the majority of cases and likely have total urinary control within a few weeks to months. Depending on nerve sparing and his age (sometimes the nerves are intentionally sacrificed depending on the aggressiveness of the tumor) he should have return of much of his baseline erectile function within 6-12 months.
James Saidi, MD
Montclair Urological Group
Glen Ridge, NJ
The following post-surgical instructions are available for patients to download or print out:
For more information on Robotic Assisted Laparoscopic Surgery, please click on the links below.