Visits by appointment · San Carlo di Nancy · Casa di Cura Mercede · Viale Aventino practice · Rome
Urology · Robotic Surgery
Robotic Surgery
Robot-assisted urological surgery with the Da Vinci system at San Carlo di Nancy. Compared with open surgery, generally smaller incisions, less blood loss and a shorter hospital stay.
Condition Complex urological conditions (oncological and benign)
Techniques Da Vinci Xi system
Hospital stay < 24h (selected procedures) – 3 days
Anaesthesia General
Follow-up Early discharge, check-up at 4–6 weeks
The Da Vinci Xi system: the surgeon guides, the robot executes.
Complex urological conditions (oncological and benign)
Treatment options
I.
Radical Prostatectomy
RARP
Removal of the prostate for prostate cancer. Bilateral nerve-sparing technique.
- Magnified 3D vision for dissection near the neurovascular bundles
- In randomised trials, oncological and functional outcomes similar to open surgery, with less blood loss and a shorter stay
Indicato per: Localised prostate cancer
II.
Partial Nephrectomy
Removal of the renal tumour only, preserving healthy tissue.
- Preservation of residual kidney function
Indicato per: Renal tumours ≤ 4 cm (T1a)
III.
Radical Cystectomy
Removal of the bladder for muscle-invasive bladder cancer.
- Less trauma than open surgery
- Faster recovery
Indicato per: MIBC bladder cancer
IV.
Pyeloplasty
Correction of uretero-pelvic junction obstruction.
Indicato per: Uretero-pelvic junction stenosis
V.
Pelvic Lymphadenectomy
Sampling or removal of pelvic lymph nodes for oncological staging.
Indicato per: Pelvic oncological staging
Clinical pathway
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01
Indication assessment
Dr. Calarco personally evaluates each indication. Discussion of robotic benefits versus alternative approaches.
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02
Pre-operative work-up
Imaging, laboratory tests, anaesthesiology review. Robotic procedure planning.
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03
Robotic procedure
Da Vinci Xi system. The surgeon controls four robotic arms with seven degrees of freedom. 10× 3D vision.
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04
Early post-operative care
Intensive monitoring. Average hospital stay reduced compared to open surgery.
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05
Discharge and follow-up
Discharge instructions, personalised check-up schedule.
Frequently asked questions
Is my case suitable for robotic surgery?
Dr. Calarco personally evaluates every indication. The choice between robotic, laparoscopic or open surgery or non-surgical treatment depends on the condition, its stage and the patient's health.
What are the concrete advantages of the robot over laparoscopy?
The Da Vinci Xi offers seven degrees of freedom of movement (vs 4 for laparoscopy), 10× magnified 3D vision and automatic tremor filtering for greater precision in critical neurovascular areas.
Is robotic surgery oncologically safe?
For prostate cancer, studies show similar oncological outcomes for robotic and open prostatectomy, with less blood loss and a shorter hospital stay with the robot. The team's experience remains the most important factor.