Prostate cancer surgery at the Botkin hospital

Prostate cancer surgery at the Botkin hospital

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Oncourology

The number of oncological diseases of the urinary system, unfortunately, does not decrease over the years. This is partly due to technological progress, which allows you to identify diseases that previously the human eye or hand was not able to determine. However, in addition to diagnostics, technological progress has also improved the quality and methods of care for cancer patients.

GKB 31 has the whole range of modern equipment, which allows a large proportion of oncological diseases to be operated endoscopically. The clinic widely uses methods of laparoscopic surgical treatment of kidney and prostate tumors. Bladder tumors that do not require removal of the entire organ are operated through the natural urinary tract, without a single incision on the human body.

The introduction of Da Vinci robotic surgery into the clinic made it possible to achieve the best results and reduce the risk of complications in kidney and prostate tumors with three-dimensional visualization of the human body and accurate transfer of the surgeon's hand movements to the instruments.

Kidney tumors

Almost all kidney tumors require removal and histological examination. To date, there are three main methods of surgical treatment of kidney tumors:

• open surgery
• Laparoscopy
• robotic surgery

Prostate cancer

Prostate cancer confirmed by biopsy, which does not go beyond the organ, is subject to surgical treatment, removal.

As with kidney tumors, today the main methods for removing the prostate (prostatectomy) can be divided into three: open surgery, laparoscopy prostatectomy, robotic prostatectomy.

Open surgery

Despite the technological progress in medicine, there are many conditions that require open surgery. Large tumors, damage to several organs or complex human anatomy sometimes does not allow performing operations from mini-accesses or through the natural ways of a person. The staff of the urology department of hospital 31 have many years of experience in open surgery and to this day carry out the most complex surgical treatments.

Laparoscopy

Laparoscopy is a modern surgical method in which operations on internal organs are performed under the control of a video laparoscope through small (usually 0.5-1.5 cm) holes, while traditional surgery requires large incisions.

The main advantages of laparoscopic access:

• Minimal injury and cosmetic effect
• Minimal bleeding
• Minimum risk of infection
• Short terms of rehabilitation and recovery in the postoperative period compared to abdominal operations.

Over the many years of existence, laparoscopy has made this method a routine one and has made it possible to refuse traumatic open surgical interventions for many tumors of the kidney and prostate.

Da Vinci Robot

In September 2013, the Da Vinci Si robotic surgical system, the most modern robotic surgery system, was installed in City Clinical Hospital 31, which allows performing surgical interventions with HD quality and 3D images, and thanks to the Endo Wrist system, which creates 7 steps of freedom for movement instruments, surgeons manage to achieve the best results, reduce surgery time, reduce tissue trauma, reduce the risk of bleeding and possible postoperative complications. using the Da Vinci surgical system, the surgeon operates comfortably sitting at the console, which reduces the Physician's fatigue and also improves the quality and effectiveness of the operation.

Robotic surgery has great advantages in the surgical treatment of prostate cancer. Due to 3D visualization and the unique movement of the instruments, it is possible to perform prostatectomy without affecting the vascular-nerve bundles, which allows maintaining the male erectile function and urinary retention in the postoperative period.

During kidney resection using the Da Vinci system, it is not difficult for the surgeon to perform the operation by removing the tumor within healthy tissue, which avoids the recurrence of the disease.

Doctors of the Botkin hospital will perform an operation using a robotic surgeon

Over two thousand participants of the St. Petersburg Cancer Forum "White Nights - 2016" will be able to watch the online broadcast of the operation to remove Prostate cancer.

An operation to remove prostate cancer will be performed by specialists from the Moscow Botkin Hospital. Doctors use the Da Vinci surgical complex. Broadcast of the work of surgeons will be conducted online.Over two thousand participants of the oncological forum "White Nights - 2016", which takes place in St. Petersburg on June 22-24, will be able to watch their work.

With the help of the Da Vinci surgical complex, more than 250 operations to remove malignant tumors have already been performed today.

Within the framework of the St. Petersburg Cancer Forum "White Nights - 2016", it is planned to consider the issues of diagnosis, treatment, organization of oncological care, as well as the epidemiology and prevention of cancer. More than two thousand oncologists and specialists of related specialties will take part in its work

Unique Operations

Pelvic surgery

You can read more about the technique of performing surgical interventions below.

Oncourology

Today, okourology accounts for more than 50% of the operations performed in our clinic. Operations such as radical prostatectomy, kidney resection, radical nephrectomy, radical cystectomy with bladder plastic surgery, TURBT are standard interventions, the technique of which has been carefully developed. In total, more than 3,000 operations have been performed for oncourological diseases over the past 10 years. You can read more about the technique of performing surgical interventions below.

Laparoscopy

What is laparoscopy?

Laparoscopic, endoscopic or minimally invasive surgery is a method of performing an operation without the need for a large incision, which can significantly reduce the recovery time after the operation, the length of stay in the hospital, reduce postoperative pain and cosmetic defect. Today, in leading urological clinics, following the wishes patients, laparoscopic access has almost completely replaced the traditional technique using large incisions. Laparoscopically performed operations such as nephrectomy (removal of the kidney), plastic surgery of the ureteropelvic segment in case of hydronephrosis, prostatectomy in case of prostate cancer, operations for cryptorchidism and varicocele. thin long instruments are inserted into the cavity and, under the control of a miniature television camera, manipulations are performed that are adopted for the treatment of a particular surgical disease (for example, removal of a kidney, stone or hernia).

How is laparoscopic surgery performed?

The method lies in the fact that through small (5 to 10 mm) punctures, thin long instruments are inserted into the abdominal cavity and, under the control of a miniature television camera, manipulations are performed that are accepted for the treatment of a particular surgical disease (for example, removal of a kidney, stone or hernia). Moreover, during the introduction, the instruments do not cut the tissues, but only push them apart. Operations are performed under anesthesia. The most important element in the instrumentation used is the optical system, the so-called laparoscope, which has two optical channels. Powerful cold light is fed into the abdominal cavity through one fiber-optic channel, and through the other, the image is transmitted to a television camera, and then to a television, which the surgeon looks at during the operation. In order to create space in the abdominal cavity for examination and work, a sterile gas, most often carbon dioxide (CO2), is injected into it. After that, all the organs of the abdominal cavity become clearly visible on the screen. Removed organs or their parts are removed from the abdominal cavity through a small cosmetic incision in the navel. After that, sutures are applied to the skin punctures and to the tissues in the navel area, and this is where the operation ends.

On the first day after the operation, the patient does not eat, although you can drink without any special restrictions. On the evening of the day of surgery (after complete recovery from anesthesia), you must get up and walk. On the second day, you can begin to take light food in moderation (fruit, cottage cheese, broth, boiled lean meat, etc.). On the third day, the diet is close to normal. The issue of the timing of discharge is decided by the doctor in each case. Usually it is 2-3 days after the operation. Sutures are removed on an outpatient basis, for 7-10 days. The recovery time is determined individually, but usually is 12-15 days after the operation. After recovery, the patient can lead his normal life without restrictions on physical activity and diet.

What are the advantages of laparoscopy?