Hi i've been prescribed an RP with limphadenectomy. Upon discussing with the top RARP surgeon (volume) he told me "i don't do well in your case G9 because i can't spare as much as i would" i recommend an "open approach".
So we have 1-Open 2-Laparoscopic (Manual 3- Laparoscopic with robot and 4- Retzius sparing (laparoscopic with robot but new technique generation 3 surgery)
I personnaly spoke with Dr Rha and they have so much experience they claim under 60 minutes console time for a nerve sparing surgery with 0 pads after 1 months. I'm quite sure this technique will make all other forgotten in 5 years but for now its limited to a few initiates since it started out in Italy (Galfano et al).
I feel like i'm getting my 2016 BMW 535 with about 47 computers on board to a indy shop that has an old Snap-On scope and 70s diagnosis technique.(no offend there i love old cars and i learned pro mechanics in the 70s)
But is it true that for high risk patient (G9) the requirement of both the RP and the limphadenectomy makes open surgery a better option ? I would be glad to read from experiences. Thanks