Da Vinci's robot (removal of prostate cancer)
The European Center for Prostate is the only clinic in Europe with a fixed cost for all types of prostate treatment.
Having extensive experience in the treatment of foreign patients, we understand that transparent pricing is very important for people coming to Germany for treatment. Therefore, the policy of our clinic: transparent pricing and a fixed cost of treatment. All sounded prices are final and do not depend on the stage of the disease, the general condition of the patient or concomitant diseases.
The removal of prostate cancer, which is carried out using a specialized medical robot, is a modern laparoscopic operation that is based on the latest high-tech achievements of medicine. "Treatment of prostate cancer?" by Da Vinci's robot lies in the surgical removal of the gland and "adjacent tissues." This type of surgery reduces the likelihood of urological problems or the development of impotence.
An important point is the rapid analysis of the surgical margin, which allows the surgeon to make sure that all the infected tissue has been removed. The operation by the Da Vinci robot on the prostate gland is carried out in Germany only by experienced surgeons, and the Da Vinci apparatus itself acts as an auxiliary device for more precise surgical manipulations.
The key advantages of using this robot in surgery are: · · Three-dimensional observation of the operating field and a 20-fold increase in the operated organs; · A program to eliminate tremor in the hands of the surgeon; Precise manipulation with high-tech equipment and correct scaling of all surgeon's movements with the ability to rotate the surgical instrument by 360 degrees; · No need for large cuts, as it is usually done with a classic open operation, and a quick recovery period. To perform an operation with a robot, only small punctures are made, and the operation is performed with surgical instruments with millimeters;
· Minimal risks of infection or large blood loss;
· An extract from the clinic on the 7th day after the operation;
· Absence of serious pain after surgery;
· Minimal scars, which is an important aesthetic
· Full recovery of urinary functions in the shortest possible time. The cost of the Da Vinci robot operation is fixed and announced to the patient during the initial telephone consultation.
How the Da Vinci robot works
Da Vinci's robotic installation consists of two components:
The central console of management, behind which the surgeon sits. The console serves the surgeon as the "organ" of vision, i.e. The operating field is enlarged 20 times in a 3-dimensional image. The console is also the control of surgical instruments.
The second component - the operating console with surgical instruments and a camera, located directly above the patient.
With the help of DaVinci's optical instruments, the surgeon sees an operating field in the 3D image, so he can perform the necessary surgical manipulations with incredible accuracy and no technical error. Special software suppresses the slightest tremor in the hands of the surgeon and scales all his movements.
The second component of the Da Vinci robot with surgical instruments has 4 "hands" - surgical instruments (scalpel, clamp, etc.), and the 5th is a camera, the image of which is projected onto the control console behind which the surgeon works and several screens in the operating room, for assistants and anaesthesiologists who follow the operation.
Advantages of the Da Vinci robot in prostatectomy No matter how experienced the surgeon was, with open prostatectomy, there are always complications in the form of: large blood loss, the risk of infection due to a large incision of the abdominal wall, which in turn leads to a long recovery, severe pain, (partial) loss of the continent (urinary retention function) and potency. "The standard laparoscopic prostatectomy does not have the technical advantages of the robotic assisted method of Da Vinci's prostatectomy. "Da Vinci's robot reduces the risks to the aforementioned complications to a minimum.
Unique mobility of surgical instruments
Da Vinci's surgical instruments accurately repeat the movements prescribed by the surgeon and are a continuation of the surgeon's hand, and also have the ability to rotate 360 degrees.
Scaling of surgical manipulations and suppression of tremor in the hands of the surgeon
The DaVinci robot software is designed in such a way that all movements of the surgeon's arms behind the control console scale and completely exclude the tremor of the hands of the operating surgeon (natural trembling of the hand). Thus, the surgeon can perform precise manipulations up to a millimeter.
FACT: sitting behind the console and controlling the manipulator, the surgeon moves it, for example, moves it by 6 cm, at this moment the surgical instrument moves only 2 cm.
Three-dimensional image with a 20-fold magnification
The three-dimensional image gives the surgeon an opportunity to see the operating field as if he is looking not through the optical instrument, but with his own eyes. And with a 20-fold increase in the operating field, the surgeon can distinguish between microscopic-sized tissues. Thanks to such technical possibilities, the surgeon, if the diagnosis allows, can preserve healthy tissues and neural bundles, which in turn helps to maintain the erectile function (potency) and the speedy restoration of the continent.
The position of the surgeon during the operation
The operation on Da Vinci's robot is performed by the surgeon sitting (not standing in a half-bent state), his hands are located on a special stand. The sitting position of the surgeon, especially when carrying out complex multi-hour operations, positively adds up to the result of the operation. In addition, the Da Vinci software allows the operating surgeon to suspend the operation at any time without removing surgical instruments from the patient's abdominal cavity. As soon as the surgeon stops moving with his hands, all surgical instruments also stop synchronously with him.
Size of surgical instruments
Surgical instruments measuring only a few millimeters in size allow the experienced surgeon to perform prostatectomy without disturbing the tissues located near the prostate, negating the chance of postoperative complications, they also contribute to a
quick recovery of the patient.
Minimally invasive surgery
When carrying out a robotic assisted prostatectomy on the Da Vinci robot, only a few punctures are made in the abdominal wall of the patient. In addition to the cosmetic effect, this kind of minimally invasive operation provides quick recovery of the patient.
The application of the Da Vinci robot in the treatment of prostate cancer
In the treatment of prostate cancer, the robotic-assisted method of surgical removal of the prostate gland has found wide application. The benefits that the Da Vinci robotic system offers to the operating surgeon are ideal for conducting accurate and delicate surgery, such as prostatectomy.
Da Vinci's surgical tools completely exclude tremors of hands (natural trembling), which is observed even in the most balanced specialists, which allows an experienced surgeon to perform a diligent prostatectomy on a robot and retain microscopic neuromuscular fibers responsible for the patient's continence and potency. Freedom of movement of surgical instruments a few millimeters in size due to the scaling function and a 20-fold enlarged three-dimensional image gives the best operating result with minimal chance of complications. The small invasive technique of conducting a prostatectomy on a robot allows the patient to return to the society in the shortest possible time and to restore their daily activities.
The sitting position of the surgeon during the operation, especially positively affects the result when performing complex operations, for example, in prostatectomy with reconstruction of the bladder.
Statistics of the European Center for the Prostate Annually, thousands of patients come to treat and diagnose prostate diseases at the European Center for Prostate in Gronau.
The team of specialists of the center consists of several urologists-specialists, each has a colossal experience of work. At the disposal of the center are 5 Da Vinci robots, among them the 2 last generation X, where more than 11,000 robotic assisted operations have been conducted to date. According ot facts given above the European Center for Prostate has been officially recognized as the largest highly specialized clinic not only in Germany but also in Europe.
Operational results for the operation to remove prostate cancer by priority: preservation / extension of the patient's life restoration / preservation of patient's quality of life urine retention function erectile function
Cancer result. Histological express test
The express test, which is conducted during Da Vinci's prostatectomy, promotes excellent results for negative (no cancer cells) surgical edges. Express test is the analysis of the removed tissues, which is carried out during the operation. Due to the express test, the surgeon has the opportunity to change the tactics of the operation, if this is necessary and achieve the best oncological result.
After the prostate has been removed, all the removed biological material is sent to the morphologist for a detailed histological examination. The morphologist analyzes the material and makes a detailed histological conclusion for the surgeon. This histological conclusion is discussed with the patient for 3-4 working days after the operation.
The European Center for Prostate conducts its own statistics of operational results: oncological and functional. At the moment, according to the results of the clinic's study, the number of negative surgical margins is 96.9% of the total number of operations performed.
The very next day after the operation, the patient begins work on restoring the body's functions: continence (the function of urine retention) and potency.
Continuation In 94.7% of all patients operated on at the European Center for Prostate, after 24 months, urine is retained. In rare cases, an average of 1 gasket per 24 hours is applied.
Potency? We also keep statistics on the recovery of potency. 88.8% of patients (among all age groups and stages of prostate cancer) who underwent surgery at
the European Center for Prostate, are sexually active.
Robot-assisted surgery is a minimally invasive surgical procedure, after which only a few unobtrusive scars remain on the patient's body. Punctures in the abdominal wall, through which surgical instruments were inserted, in most cases simply sealed with a medical plaster. To speed up the process of full recovery we recommend that our patients walk daily, breathe fresh air and consume 2 liters of water per day. The first 2-3 weeks, we recommend avoiding physical and emotional overstrain (do not lift weights of more than 10 kg). You can take a shower on the first day after the operation.
When carrying out a radical robot-assisted prostatectomy, a gas is injected into the abdominal cavity of the patient for a more convenient work of the surgeon. During the day, the gas leaves the body, therefore, after the operation, the patient may have slight pain / sighing in the shoulder joints and in the abdominal region.
The experience of the operating surgeon
When conducting a robotic assisted operation, the experience of the surgeon is very important. Especially the role played by experience in surgical operations. It is important to understand that the robot is operated by a surgeon-operator and without his command the robot is immobilized. The surgeon's experience in robotic assisted operations is determined not only by the total number of operations performed per year, but also by the regularity of the operations performed by this method.
The main specialists of the European Center for Prostate - Dr. J. Witt, Dr. K. Wagner and Dr. A. Schьtte, on average conduct 10 operations per week.
European Center for the Prostate Mцllenweg 22? 48599 Gronau
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Mцllenweg 22? 48599 Gronau (Germany) 5 minutes from the German-Dutch border .