Essential Elements of Building a Robotics Program

  • Garrett S. Matsunaga
  • Anthony J. Costello
  • Douglas W. Skarecky
  • Thomas E. Ahlering


The first successful report of a laparoscopic nephrectomy was in 1991,1 and just one year later Schuessler, Kavoussi, and Clayman (largely the same group responsible for laparoscopic nephrectomy) reported the first laparoscopic radical prostatectomy (LRP).2 The continued development of LRP moved across the Atlantic Ocean when, in 1999, two groups in Paris reported fairly large series.3,4 These groups had persevered and conquered the difficult learning curve of paving the way for the rapid advancement of this technique. Interestingly, LRP remains more vigorous in Europe and only a small number of American centers have embraced this technique. The group at Henry Ford Hospital stalled in their quest to establish a pure laparoscopic program and subsequently transformed into the first large-scale robotic-assisted laparoscopic radical prostatectomy (RLP) program using the da Vinci® robotics system (Intuitive Surgical Inc., Sunnyvale, CA).5


Radical Prostatectomy International Prostate Symptom Score Heller Myotomy Laparoscopic Radical Prostatectomy Laparoscopic Nephrectomy 
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  1. 1.
    Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy: initial case report. J Urol 1991;146:278–282.PubMedGoogle Scholar
  2. 2.
    Schuessler WW, Schulam PG, Clayman RV, et al. Laparoscopic radical prostatectomy: initial shortterm experience. Urology 1997;50:854–857.PubMedCrossRefGoogle Scholar
  3. 3.
    Guillonneau B, Vallancien G. Laparoscopic radical prostatectomy: initial experience and preliminary assessment after 65 operations. Prostate 1999;39: 71–75.PubMedCrossRefGoogle Scholar
  4. 4.
    Abbou CC, Salomon L, Hoznek A, et al. Laparoscopic radical prostatectomy: preliminary results. Urology 2000;55:630–634.PubMedCrossRefGoogle Scholar
  5. 5.
    Menon M, Shrivastava A, Tewari A, et al. Laparoscopic and robot assisted radical prostatectomy: establishment of a structured program and preliminary analysis of outcomes. J Urol 2002;168: 945–949.PubMedCrossRefGoogle Scholar
  6. 6.
    Lotan Y, Cadeddu J, Gettman M. The new economics of open, laparoscopic and robot assisted techniques. J Urol 2004;172:1431–1435.PubMedCrossRefGoogle Scholar
  7. 7.
    Ahlering TE, Skarecky DW, Lee DI, et al. Successful transfer of open surgical skills to a laparoscopic environment using a robotic interface: initial experience with the laparoscopic radical prostatectomy. J Urol 2003;170:1738–1741.PubMedCrossRefGoogle Scholar
  8. 8.
    Leung YM, Rashid H, Oleyourryk GJ, et al. Robotic surgical education: a systematic approach to training urology residents to perform robotic radical prostatectomy. J Urol 2005;173:abstract 1188.Google Scholar

Copyright information

© Springer-Verlag London Limited 2007

Authors and Affiliations

  • Garrett S. Matsunaga
    • 1
  • Anthony J. Costello
    • 2
  • Douglas W. Skarecky
    • 1
  • Thomas E. Ahlering
    • 1
  1. 1.Department of UrologyUniversity of California, Irvine Medical CentreOrangeUSA
  2. 2.The Epworth CentreRichmondAustralia

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