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Robotic Radical Prostatectomy

Dr Gianduzzo is now offering robotic-assisted radical prostatectomy (RARP) and is the only fellowship-trained urologist based in Brisbane to offer both laparoscopic radical prostatectomy (LRP) and RARP, according to your individual clinical needs. Dr Gianduzzo is experienced in both RARP and LRP, having undertaken international fellowship training in LRP as well as credentialling in robotic surgery.

He is also completing a master's thesis on advances in RARP within which he was instrumental in robotic instrument design and development. Beacuase both RARP and LRP are "key-hole" operations, they are essentially the same operation and use similar operative techniques. This is why RARP is often termed "robotic-assisted laparoscopic radical prostatectomy". The difference is that LRP uses hand-held "key-hole" tools while RARP uses a robot to help control the "key-hole" instruments. As both RARP and LRP are both "key-hole" operations they are very different operations to the open operation and use different techniques and manoeuvres to perform the surgery. Therefore it is arguably advantageous for the surgeon to have experience in LRP rather than open surgery.

In addition, should the robot malfunction, then a surgeon who is experienced in LRP can still potentially complete the operation in a "key-hole" manner using standard, hand-held laparoscopic "key-hole" tools without the robot. By comparison, an open surgeon who is not proficient in LRP would need to make a large incision to convert to open surgery rather than complete the operation in a "key-hole" manner. The following video provides an overview of robotic radical prostatectomy.

Click here to view Robotic Radical Prostatectomy Video