The French Experience: The St. Augustin Transition from the Laparoscopic to the Robotic Approach
In 1997, we performed the first standard laparoscopic radical prostatectomy with a posterior approach to the seminal vesicle at the St. Augustin Clinic. After eight years and more than 3000 patients operated on we arrived at a steady state. As a center of excellence, we personally found that it was not possible for our technique to evolve any further. This was secondary to the technical limitations on standard laparoscopy, two-dimensional (2D) vision, counterintuitive motion, and nonwristed instrumentation. The arrival of robotic technology at our institution in January 2006 began a new era in our approach to radical prostatectomy. We thought that the quality of the vision provided by the robot with a three-dimensional (3D) image and the possibility of working using six axis instruments could help us in overtaking the technical limits of laparoscopic surgery.
KeywordsRadical Prostatectomy Neurovascular Bundle Robotic Technology Laparoscopic Radical Prostatectomy Robotic Approach
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