New Delhi, Jun 20 (PTI) A 68-year-old man diagnosed with locally advanced prostate cancer has undergone a complex robotic-assisted surgery at a Delhi hospital, according to a statement issued by the hospital.
According to RG Hospitals, the procedure involved robotic-assisted radical prostatectomy (RARP) along with bilateral iliac lymph node dissection.
The RARP is a minimally invasive surgery to treat localised prostate cancer.
The patient was admitted with severe lower urinary tract symptoms and poor urinary flow. Investigation revealed a locally advanced prostate tumour with seminal vesicle involvement and a significantly enlarged prostate gland weighing nearly 90 grams. Imaging test results showed a tumour with “intermediate-risk” having aggressive
features.
The case was further complicated by severe anaemia and diabetes, making perioperative (entire duration of surgical procedure) challenging, the hospital said.
Despite the advanced stage of the disease and gland enlargement, the surgery was completed successfully under general anaesthesia using robotic technology, with doctors attempting to preserve surrounding critical structures, such as vital nerves and blood vessels, wherever medically feasible.
Post-operative biopsy findings showed negative surgical margins and lymph nodes, indicating successful surgical clearance of the disease. The patient recovered well and was discharged in stable condition after post-operative monitoring, the statement said.
“Managing locally advanced prostate cancer becomes particularly challenging when there is significant gland enlargement and seminal vesicle involvement. Robotic-assisted surgery allowed us better visualisation and precision during the procedure,” senior consultant urologist Dr Susheel Kharbanda said.
Dr Prerit Mathur, senior consultant in anaesthesia, said careful planning was required because the patient had multiple medical conditions, including severe anaemia and diabetes, along with the prolonged duration of surgery.
Maintaining haemodynamic (heart rate) stability throughout the procedure was critical, he added.
The hospital said robotic-assisted procedures are increasingly helping improve surgical precision and recovery outcomes in complex urological cancer cases, particularly among patients with advanced disease and associated medical complications. PTI SGV AMJ AMJ
