Small Cuts, Big Benefits: How Robotics Are Changing Prostate Cancer Surgery

by Dr Bala Sundaram Mariappan, Consultant Urologist and Console Surgeon 

Robotic surgery, also known as robot-assisted surgery, is a modern, minimally invasive technique that uses advanced robotic technology to perform complex procedures with greater precision and control. In prostate cancer treatment, robotic techniques are transforming outcomes for patients across Malaysia.

Robotic Surgery for Prostate Cancer

In Malaysia, the most widely used system for robotic prostate surgery is the da Vinci robotic surgical system. This cutting-edge platform offers exceptional control, enhanced visualisation, and advanced instrumentation. It enables surgeons to carry out precise procedures with minimal trauma, promoting faster recovery and better results for patients.

The da Vinci system robotic surgery platform consists of three main components:

  • Robotic arms. These are equipped with surgical instruments that are controlled by the surgeon.
  • High-definition 3-D camera. This provides the surgeon with a magnified, real-time view of the surgical site.
  • Surgeon’s console. This is where the surgeon sits and manipulates the robotic arms and camera using hand and foot controls.

Benefits of Robotic Surgery for Prostate Cancer

Robotic systems offer several key advantages over traditional open or laparoscopic prostate surgery:

  • Enhanced precision: The robotic arms can perform intricate movements beyond the capability of the human hand, allowing for accurate tissue dissection and nerve preservation
  • Magnified 3-F vision: The high definition imaging system magnifies the operating area, giving the surgeon a clear and detailed view
  • Minimally invasive approach: Smaller incisions reduce pain, blood loss, and recovery time while also minimising scarring
  • Lower risk of complications: With greater control and visibility, the risk of infection or internal damage is reduced
  • Improved recovery: Patients often benefit from shorter hospital stays, faster return to normal activities, and better long-term function

These benefits make robotic surgery in Malaysia a preferred option for many patients seeking effective and less invasive prostate cancer treatment.

Limitations of Robotic Prostate Surgery

While da Vinci robotic surgery offers numerous advantages, it may not be suitable in all cases. Some limitations include:

  • Severity of the prostate cancer: In severe cases, traditional open prostate cancer surgery may be necessary to ensure complete tumour removal
  • Patient body type: Obesity or unusually large prostate glands can make robotic procedures more technically challenging
  • Previous surgeries: Previous operations in the pelvic region may complicate robotic access and increase the risk of surgical complications

Careful evaluation by a urologist for prostate cancer in Malaysia will determine the best treatment strategy for each individual.

 Dr Bala Sundaram Mariappan, Consultant Urologist and Console Surgeon at SJMC.

Advice for Patients Preparing for Robotic Surgery

Dr Bala Sundaram offers these tips for individuals preparing for robotic prostate surgery:

What You Should Do

  • Communicate openly: Discuss your full medical history, current medications, and concerns with your doctor
  • Follow preoperative instructions: These may include dietary changes, stopping certain medications, or bowel preparation
  • Prepare your home: Create a safe and comfortable space for recovery by removing tripping hazards and arranging support for basic tasks

What to Avoid

  • Don’t stop taking any medications without consulting your doctor. Some medications may need to be adjusted or stopped before surgery.
  • Don’t eat or drink anything after midnight the night before surgery. This is to ensure that your stomach is empty during surgery.
  • Don’t hesitate to ask questions. Your doctor and the surgical team are there to help you, so don’t be afraid to ask any questions you have.

Leading the Way with Robotic Surgery in Malaysia

With the adoption of the da Vinci robotic surgery system in Malaysia, the landscape of prostate cancer treatment is rapidly evolving. Patients benefit from more precise procedures, reduced discomfort, and improved outcomes.

As awareness and access to this technology grow, more men can benefit from safe, efficient, and effective care. For many, robotic surgery for prostate cancer represents a major step forward in the fight against one of Malaysia’s most common male cancers.

Schedule a consultation with a specialist in da Vinci robotic surgery in Malaysia to learn how this advanced method can support your recovery and long-term health.

Source: Health Today