Background: Laparoscopic radical prostatectomy (LRP) is a challenging procedure for both the surgeon and the assistant(s).
Frequently only one assistant is available who has to manipulate the camera and also assist with traction and/or suction. This
may lead to poor image quality making the procedure more difficult for the surgeon. Previous robotic camera holders were bulky
and expensive. We report on the impact of a new robotic camera holder on the outcome of extraperitoneal laparoscopic radical
Methods: 72 patients undergoing LRP were prospectively analysed for length of surgery and blood loss. For the first 36 patients,
the laparoscope was held by the first assistant while with the subsequent 36 cases, the Freehand® robotic camera holder was used.
The assistant was at the same level of training over the study period.
Results: The introduction of the robotic camera holder significantly reduced the length of surgery by approximately one hour
and blood loss by an average of 400ml.
Conclusion: The robotic camera holder significantly reduces operative time and blood loss.