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Robotic Assisted Procedures

Robotic-assisted surgery, a type of minimally invasive surgery, uses surgical robotic equipment which imitates surgical movements. Minimally invasive procedures allow surgeons to operate through small ports rather than large incisions, resulting in shorter recovery times, fewer complications and reduced hospital stays. Surgical robotics combines minimally invasive surgery with highly advanced clinical technology.

Colorectal Cancer Surgery Performed through da Vinci

Robotic Surgery for Colorectal Cancer

(Rectal Cancer Surgery/Resection)

Low Anterior Resection (LAR) is a robotic-assisted surgery that removes the malignant portion of the colon. It offers the following potential benefits:

  • Improved cancer margins
  • Less chance of surgeon switching to open surgery

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Gallbladder Surgery Performed through da Vinci Surgical System®

Minimally Invasive Gallbladder Removal

Gallbladder removal, known as a cholecystectomy, is the most common method for treating gallstones.  With only a single small incision the patient's gallbladder is removed through one tiny incision in the belly button, making the procedure virtually scarless. The surgery can be performed in about one hour with a typical hospital stay of less than 24 hours.

Benefits of the robotic surgery procedure for gall bladder removal include:

  • Minimal or no scarring
  • Minimal pain
  • Low blood loss
  • Faster recovery
  • A shorter hospital stay

Unlike traditional robotic surgeries requiring three to five small incisions, this new technology allows for a single incision where instruments are placed and the gallbladder is removed.

During the procedure, the surgeon uses robotic controls to manipulate the instruments and camera as the system translates the surgeon's hand, wrist and finger movements into more precise movements of the surgical instruments.

More than 1 million people in the U.S. have their gallbladder removed each year, typically because of gallbladder pain from gallstones and/or non-functioning gall-bladders. Most people who require gallbladder removal are candidates for the robotic, single-incision surgery.

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Gynecologic Procedures Performed through da Vinci Surgical System®

Endometriosis

Endometriosis is a painful, chronic disease that occurs most often in women between the ages of 25 and 40. It occurs when tissue, like that which lines the uterus, is found outside the uterus – usually in the abdomen on the ovaries, fallopian tubes, and ligaments that support the uterus.

What are the symptoms of endometriosis?

  • Pain before and during periods
  • Pain with sex
  • Infertility
  • Fatigue
  • Painful urination during periods
  • Painful bowel movements during periods
  • Other gastrointestinal upsets such as diarrhea, constipation, nausea

A leading treatment for endometriosis is robotic-assisted endometrial ablations. Advantages of robotic-assisted surgery include less bleeding, lower risk of infection, less pain and minimal scarring. Patients usually experience a faster recovery. In most cases, the patient goes home the same day and is able to get back to normal daily activity much sooner than with traditional surgery.

Hysterectomy

The surgical removal of the uterus, is the second most common surgery among women in the United States. Typically, with traditional surgery, this operation means a hospital stay of three days and up to six weeks of recovery time.

At McLaren, surgeons are getting women back to their normal routines faster using a superior robotic surgical system. With the hospital's advanced daVinci® robotics, surgeons are able to make only small incisions in the patient's abdomen.

That's because the robotics platform has tiny instruments that replicate the movements of the human wrist, allowing the surgeon to make more precise, fine movements. These special instruments -- in miniature scale -- allow for an even greater range of motion than the human hand.

The system also projects a 3-D, high-definition image of what's going on inside the body during the procedure. Surgeons say the image of the patient's anatomy is actually clearer than with the naked eye.

Robotic tools help with even the most complicated surgeries for severe endometriosis or extensive pelvic scarring from a previous surgery.

With a robotically performed hysterectomy, patients can typically return to work in about two weeks.

Myomectomy

A procedure that allows a woman to have fibroids or tumors removed from the uterus without losing her ability to become pregnant. The advanced robotic instruments are especially suited to this type of procedure, allowing the surgeon to make only a small incision in the abdomen.

Sacrocolpopexy

A complex procedure to correct uterine prolapse. The procedure supports the uterus by suspending the walls of the vagina from the back of the pelvis. In the past, hysterectomy was the recommended for prolapse treatment, but today, most doctors recommend that the uterus be re-suspended. The minimally invasive procedure using the da Vinci system is the gold standard for this type of surgery. To learn more about the procedure and our physicians that perform it, click here.

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Gynecologic Procedures Performed through Single-Site Surgery

Traditionally, many conditions affecting the uterus are treated with hysterectomy - the surgical removal of the uterus. Hysterectomy may offer a life-saving treatment for serious conditions such as cancer or uncontrollable bleeding. In most cases, however, hysterectomy is an elective procedure performed to relieve chronic pain, bleeding or other disabling conditions.

The single-port laparoscopic technique allows for the removal of the uterus through a small incision, about ¾ an inch long, in the belly button. To perform this procedure, A SILS™ port is inserted through the incision. The port is a soft and flexible instrument equipped with three distinct openings allowing for the use of three surgical devices at the same time. The single-site hysterectomy can be a same-day procedure, but usually requires a one night stay in the hospital. Because there is only one small incision, pain during recovery is mild or minimal, and patients are often able to return to work just weeks after surgery compared to the longer recovery time often associated with an open hysterectomy.

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Urology Procedures Performed through da Vinci Surgical System®

The Disease:  Prostate Cancer

Prostate cancer is a disease in which malignant (cancer) cells form in the tissues of the prostate.  The prostate is a gland in the male reproductive system located just below the bladder and in front of the rectum.  It is about the size of a walnut and surrounds the urethra (the tube that empties urine from the bladder).  The prostate gland produces fluid that makes up part of the semen.

davinci prostatectomy

Approximately 16% of American men will be diagnosed with prostate cancer sometime in their life.  Treatment options and prognosis depend on the stage of the cancer, the Gleason score, and the patient's age and general health.  With greater public awareness, early detection is on the rise and mortality rates are declining.

Additionally, new advances in medical technology are enabling cancer victims to go on to live active and productive lives after their treatment.  Consult with your doctor for advice on the options that are available to treat your specific condition.

The Surgical Treatment:  Radical Prostatectomy

One of the most common treatments for prostate cancer involves the surgical removal of the prostate gland, known as radical prostatectomy.  Traditional radical prostatectomy requires a large, 8 - 10 inch incision.  This open surgery commonly results in substantial blood loss, a lengthy and uncomfortable recovery and the risk of impotence and incontinence.

Prostatectomy incisions

da Vinci Prostatectomy:  A Less Invasive Surgical Procedure

If your doctor recommends surgery to treat your prostate cancer, you may be a candidate for a new, less-invasive surgical procedure called da Vinci Prostatectomy.  This procedure incorporates a state-of-the-art surgical system that helps your surgeon see vital anatomical structures more clearly and to perform a more precise surgical procedure.

For most patients, da Vinci Prostatectomy offers numerous potential benefits over open prostatectomy including:

Surgery image
  • Shorter hospital stay
  • Less pain
  • Less risk of infection
  • Less blood loss and transfusions
  • Less scarring
  • Faster recovery
  • Quicker return to normal activities

As with any surgical procedures, these benefits cannot be guaranteed as surgery is both patient and procedure specific.

The Enabling Technology:  da Vinci Surgical System®

The da Vinci Surgical System® is powered by state-of-the-art robotic technology.  The System allows your surgeon's hand movements to be scaled, filtered and translated into precise movement of micro-instruments within the operative site.

The da Vinci System® enhances surgical capabilities by enabling the performance of complex surgeries through tiny surgical openings.  The System cannot be programmed nor can it make decisions on its own.  The da Vinci System requires that every surgical maneuver be performed with direct input from your surgeon.

The da Vinci Surgical System® has been successfully used in thousands of prostate cancer procedures worldwide.

For more information visit www.daVinciSurgery.com

 

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