Abstract
INTRODUCTION: During laparoscopic procedures, the surgeon's control on target field visualization as well as optimal and steady vision can be achieved by using a camera holder. The article presents our preliminary experience with the use of a voice controlled robotic camera holder during 3D laparoscopic radical prostatectomy (3D LRP). MATERIAL AND METHOD: Thirty patients were prospectively enrolled and underwent either 3D LRP with the use of a voice controlled robotic camera holder (study group) or 3D LRP with the surgeon holding the camera (control group). Oncological, demographic data and surgical parameters were evaluated. RESULTS: Voice-controlled 3D LPR produces a more stable visual field that subjectively decreases the surgeon's fatigue, enables precise preparation, especially along big vessels during lymphadenectomy, urethral stump preparation and urethro-vesical anastomosis. In the fifteen cases analyzed, voice-controlled 3D LRP saved 47 hours of surgeon's time. CONCLUSIONS: In this study, the preliminary experience with a robotic arm for camera positioning revealed that the positioner is effective, easy to use and provides a steady and reliable visual field for laparoscopic urological procedures.