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The New Paradigm Of Surgery

What Is Robotic Surgery?

Robotic Surgery, computer assisted surgery and robotically assisted surgery are terms for technological developments that use robotic systems to aid in surgical procedures. Robotic Surgery was developed to overcome both the limitations of MIS and enhance the capabilities of surgeons performing open surgery.

What are the benefits of Robotic Surgery compared with traditional methods of surgery?

Some of the major benefits experienced by surgeons using the Robotic Surgical System over traditional approaches have been

  • Greater Surgical Precision
  • Increased Range of Motion
  • Improved Dexterity
  • Enhanced Visualisation
  • Improved Access
Whereas the benefits experienced by the patients include:
  • Shorter Hospital Stay
  • Lesser Pain
  • Lower Risk of Infection
  • Lesser Blood Loss
  • Fewer Transfusions
  • Less Scarring
  • Faster Recovery
  • Quicker Return to Normal Daily Activities
Prostatectomy performed using the da Vinci Surgical System significantly reduces the incidence of urinary incontinence and impotency in comparison with the conventional methods of surgery.

Why Is this Robotic System called the Da Vinci Surgical System?

The system is called ‘da Vinci’ in part because Leonardo da Vinci invented the first robot. He also used unparalleled anatomical accuracy and three dimensional details to bring his masterpieces to life. The da Vinci Surgical System similarly provides physicians with such enhanced detail and precision that the System can simulate an open surgical environment while allowing operation through tiny incisions.

How does it operate?

With da Vinci, small incisions are used to introduce miniaturised wristed instruments and a high definition 3D camera into the body. The da Vinci Surgical System consists of an ergonomically designed surgeon’s console, a patient cart with four interactive robotic arms, a high-performance vision system and patented EndoWrist instruments. At the da Vinci console, the surgeon operates while seated comfortably, viewing a highly magnified 3D image of the body’s interior. To operate, the surgeon uses master controls that work like forceps.

As the surgeon manipulates the controls, da Vinci responds to the surgeon’s input in real time, translating his or her hand, wrist and finger movements into precise movements of miniaturised instruments at the patient-side cart.

It is important to know that surgery with da Vinci does not place a robot at the controls; a surgeon controls every aspect of the surgery with the assistance of the da Vinci robotic platform.

Is Robotic Surgery safe?

Since the introduction of the da Vinci System more than ten years ago, the da Vinci System has been used successfully in tens of thousands of procedures. Its safety and efficacy have been documented in hundreds of clinical publications. The literature supporting da Vinci’s use is extensive, covering all surgical specialties where the system is used.

Has the Da Vinci surgical system been cleared by the US FDA?

The US Food and Drug Administration (FDA) has cleared the da Vinci Surgical System for a wide range of procedures including radical prostatectomy, radical cystectomy and partial nephrectomy, various gynaecological, and head and neck procedures.

What procedures can be performed using the Da Vinci Surgical System?

The da Vinci System is a robotic surgical platform designed to enable complex procedures of all types to be performed through 1-2 cm incisions or operating 'ports'. The following procedures can be performed using the da Vinci Surgical System:

Uro-Oncology Procedures

  • Radical Prostatectomy for Prostate Cancer
  • Radical Cystectomy for Urinary Bladder Cancer
  • Radical and Partial Nephrectomy for Kidney Cancer
  • Adrenalectomy for Adrenal Tumours
  • Partial Cystectomy for Selected Urinary Bladder Cancers
  • Lymph Node Dissection for Urological Cancers

Urology Procedures

  • Pyeloplasty (for PUJ Obstruction)
  • Ureteric Reimplantation
  • Bladder Augmentation

Gynaecological and Gynaec-Oncological Procedures

  • Total Abdominal Hysterectomy (Uterus Removal) for Non Cancer Conditions
  • Myomectomy (Fibroid Removal)
  • Endometriosis
  • Pelvic Floor Repair
  • Radical Hysterectomy (for Cancer Cervix)
  • Total Abdominal Hysterectomy with Lymph Node Dissection for Cancer Endometrium

Head and Neck/ENT Procedures

  • Thyroidectomies for Benign and Malignant Thyroid Enlargements
  • Oropharyngeal tumours
  • Sleep Apnoea Syndrome for Sleep Disorders

General Surgical/Thoracic Procedures

  • Total/Hemicolectomy for Colon and Rectal Cancer Surgery
  • Liver and Pancreatic Resections
  • Intestinal Surgeries
  • Obesity Surgeries
  • Oesophageal Surgeries for Carcinoma Oesophagus

Cardiac Surgeries

  • Coronary Artery Bypass Surgery
  • Mitral Valve Repair
  • Atrial Septal Defect (ASD) Closure

Bariatrics (Obesity Surgery)

Is Robotic Surgery expensive?

The cost of the surgery will be higher than Laparoscopic surgery. But due to shorter hospital stay, minimal complications and lesser incidence of blood transfusions, the cost is compensated, and thus, gets competitive.

Is Robotic Surgery a well established technique?

Currently, the da Vinci Robotic Surgical System is being used in hundreds of hospitals worldwide, in major centers in the United States, Austria, Belgium, Canada, Denmark, France, Germany, Italy, Japan, Romania, Saudi Arabia, Singapore, Sweden, Switzerland, United Kingdom, Australia, Turkey and the Netherlands.

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