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Urology · Robotic Surgery

Robotic Surgery

Over 3,200 robotic procedures at San Carlo di Nancy with the Da Vinci Xi system. Millimetric surgical gestures, minimal tissue trauma and significantly faster recovery.

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.

  • Maximum precision in the neurovascular area
  • Lower positive surgical margins vs open surgery

Indicato per: Localised prostate cancer

II.

Partial Nephrectomy

Removal of the renal tumour with preservation of healthy parenchyma. Zancle technique.

  • Preservation of residual kidney function
  • Single incision (Zancle technique)

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.

  • High-precision robotic technique

Indicato per: Uretero-pelvic junction stenosis

V.

Pelvic Lymphadenectomy

Sampling or removal of pelvic lymph nodes for oncological staging.

  • Accurate staging

Indicato per: Pelvic oncological staging

Clinical pathway

  1. 01
    Indication assessment

    Prof. Calarco personally evaluates each indication. Discussion of robotic benefits versus alternative approaches.

  2. 02
    Pre-operative work-up

    Imaging, laboratory tests, anaesthesiology review. Robotic procedure planning.

  3. 03
    Robotic procedure

    Da Vinci Xi system. The surgeon controls four robotic arms with seven degrees of freedom. 10× 3D vision.

  4. 04
    Early post-operative care

    Intensive monitoring. Average hospital stay reduced compared to open surgery.

  5. 05
    Discharge and follow-up

    Discharge instructions, personalised check-up schedule.

Frequently asked questions

Is my case suitable for robotic surgery?
Every indication is personally evaluated. Over 70% of major procedures are performed with the robot, but the choice depends on the condition, stage and patient characteristics.
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?
Positive surgical margins in robotic prostatectomies are lower than in open surgery according to international literature. Oncological safety is equal to or greater than traditional approaches.

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