There was a favorable article about robotic surgery in the New England Journal of Medicine.
| The robot-assisted procedure is associated with lower rates of postoperative impotence and incontinence than the open procedure, says Menon, because the robot makes it considerably easier to spare nerves and to anastomose the urethra. Moreover, Menon believes that it permits more complete extirpation of malignant tissue. |
The more I do of these, the more I agree with Dr. Menon, the father of robotic urology in the US. People are regaining urinary and sexual function sooner and I think this will show better results long term.
As for cancer control, I am having better results now with robotics than I did with open surgery if I look at my positive margins, which should lead to better cancer control long term.