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From my reading it would seem like open may be slightly better IF the surgeon is a top one - tricky definition. Otherwise a highly recommended and experienced robotic surgeon may be preferable. I had an open surgery after switching from an older experienced surgeon to a younger more modern (and reputed to be gifted) one and am very glad that I made that choice. He did the operation in 48 minutes vs likely a 4 hour operation with the older fellow. No real pain afterwards other than one episode of gas afterwards. Spent 48 hours in the hospital. I agree with your decision to get rid of the cancer one way or another given your particulars. One needs to walk a lot after the surgery to reduce gas - and to speed recovery. Take laxatives afterwards and have a bunch of books ready to read.