Dad just diagnosed. LRP vs RARP?
My dad (74) has been diagnosed with prostate cancer. Gleason 3+4, PSA 7, 41% Decipher score. He has been recommended surgery by his doctor. However his doctor does not perform robotic assisted surgery / the DaVinci robot. He has suggest the below instead:
Laparoscopic radical prostatectomy is a procedure that has the advantages of the retropubic approach, but because there are several small abdominal incisions as opposed to the longer midline incision, the discomfort is less and the recovery is quicker with this approach. The disadvantage of this procedure is that it requires a surgeon skilled in laparoscopy (surgery performed through small incisions with visualization provided by a small telescope instrument and fine instruments that fit through the small incisions), and currently appears to be taking longer to perform than a robot-assisted radical prostatectomy. The outcomes of laparoscopic prostatectomy, i.e., urinary incontinence, erectile function, and positive margin (cancer cells at the edge of the specimen) rates are similar to open surgery.
Does anyone have experience with non-robotic surgery, such as the type described above?