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Old 09-13-2007, 01:50 PM   #1
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laswell HB User
da vinci question - extraperitoneal vs. transperitoneal

Talked to 3 surgeons in Texas - Slawin in Houston performs this surgery w/ the extraperitoneal method. He feels this is safer because no entry into the abdominal cavity. The other 2 use the transperitoneal because there is more room and faster.
Anyone know the lowdown?
Thanks

Last edited by laswell; 09-13-2007 at 02:27 PM.

 
Old 09-13-2007, 02:33 PM   #2
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Re: da vinci question - extraperitoneal vs. intraperitoneal ?

Quote:
Originally Posted by laswell View Post
Talked to 3 surgeons in Texas - Slawin in Houston performs this surgery w/ the extraperitoneal method. He feels this is safer because no entry into the abdominal cavity. The other 2 use the intraperitoneal because there is more room and faster.
Anyone know the lowdown?
Thanks
Most experienced surgeons, the surgeons with tons of time working with the da Vinci system, have their experience in the intraperitoneal method. With the extraperitoneal method, additional clinical experience is required. I went with a surgeon who had nearly 1000 intraperitoneal method da Vinci procedures under his belt.

My opinion...

I wouldn't be too concerned about which da Vinci method is used, rather, I'd be looking for a surgeon with the most time doing the exact same procedure. Extraperitoneal or intraperitoneal? Don't matter, as long as he can do it in his sleep!

My da Vinci experience was uneventful.

Best wishes!

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Old 09-15-2007, 05:28 PM   #3
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Re: da vinci question - extraperitoneal vs. intraperitoneal ?

I had the extraperitoneal RRP done by Dr Slawin. One of the factors that caused me to choose him was the extraperitoneal approach. My pre-op research indicated that there may be a few days quicker recovery (important to me) and there may be a lower risk of side effects. It made sense to me that if you could do this surgery without punching through the peritoneum and inflating the entire gut it would be a good thing. Plus, I never found a downside to the extraperitoneal approach.

That said, there have been plenty of posts on this forum from people who had uneventful surgeries and recoveries using the transperitoneal and open methods. The major deciding factor is the skill of the surgeon, and I don't think there's any better than Slawin. The rest is just icing on the cake.

I had my surgery 7 weeks ago next Monday. Very little discomfort, catheter removed in a week, and I could return to an office job in two weeks. I wear a lightweight pad for what little incontinence I still have. I couldn't have asked for a better overall experience.

 
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