Evidence

What the robotic approach does and does not change, in plain language, with links to the primary literature collated on the references page.

Prostate - NSW

First robot-assisted radical prostatectomy in New South Wales, performed at St Vincent's.1

Adrenal - Australia

First robot-assisted adrenalectomy in Australia.

Kidney - Australia

First robot-assisted nephrectomy for kidney cancer in Australia.1

Pyeloplasty - four arm

First four-arm robot-assisted pyeloplasty for reconstruction of the renal pelvis.6

What robotic access actually changes

Group-level evidence from randomised and large observational series, summarised in one place.

Blood loss and transfusion

Consistently lower with robotic (and laparoscopic) access than with equivalent open surgery, driven largely by pneumoperitoneum and magnified vision.4,5

Hospital stay

Shorter for most robotic operations compared with open equivalents. Cystectomy is the main exception - overall length of stay is similar to open.

Return to activity

Faster return to desk-based work and to normal exercise in most robotic procedures, consistent across large observational series.

Oncologic outcomes

Comparable to equivalent open surgery for the operations where direct comparisons have been made - prostate, kidney, adrenal and bladder.4,7

Functional outcomes

Continence and erectile function after prostatectomy are at least comparable to open surgery and improved in some series. Warm ischaemia time in partial nephrectomy is favourably low in experienced robotic hands.

Surgeon learning curve

Case volume is the dominant determinant of outcome. For robotic prostatectomy, published literature suggests plateau at > 200 cases per surgeon.5

What robotic access does not change

  • The underlying biology of the disease. An aggressive cancer remains an aggressive cancer, regardless of approach.
  • The need for careful patient selection, staging and multidisciplinary input.
  • The general risks of any major operation.
  • The need for long-term surveillance after cancer surgery.

The references page lists the specific studies cited across procedure and condition pages; each numbered anchor can be linked directly.

Considering robotic surgery?

You can request a second opinion on imaging, staging and treatment options before you decide. General information only; not individual medical advice.