Robot-assisted surgery is one of medical technology’s great leaps forward, and is quickly gaining widespread popularity. Robot-assisted surgery not only offers many benefits to patients, but also allows surgeons to overcome many of the limitations of traditional surgery, especially in the more complex and difficult-to-access areas within the body.
While traditional surgery requires a large incision so the surgeon's hands can fit inside the patient's abdomen, robotic surgery requires only two or three small incisions. The robotic arms and camera are positioned in these incisions, allowing all of the surgical movement to take place within the abdomen. The surgeon then has a close-up high definition view of the prostate, kidney or other urologic area and is able to guide the robotic hands to delicately move, cut and suture. During the procedure, the surgeon sits at the nearby surgical console where he controls the robot's every movement through hand guides. The robotic arms mimic the surgeon's every movement and the rotating wrists allow the machine for a full range of motion. In the prostatectomy, the surgeon is able to plainly see and carefully remove the prostate while sparing the delicate nerves in the surrounding area. Robotic surgery represents the best technological innovation has to offer coupled with the years of experience resting in each surgeon on our team.
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Compared with open abdominal surgery and laparoscopic surgery, robot-assisted prostate cancer surgery has the following advantages: -Helps to control the cancer more effectively. -Patients feel less pain, spend less time in hospital during treatment, and recover faster due to minimal surgical wounds. -Surgery is high precision; the robot can move around freely and the surgeon is able to view a clear, magnified image of the organ. -The robot is better at avoiding nerves around the prostate gland that control urine retention and erectile function. It is therefore much more likely that after treatment the patient’s bladder control and sexual function will be unaffected by surgery. -Less time spent in surgery compared to the laparoscopic approach; less blood loss. -Less chance of complications after surgery, such as infections and edema.
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In robot–assisted surgery, with the da Vinci System (da Vinci Robot), a surgeon is able to manipulate the robot to perform controlled, surgical procedures, such as dissection and suturing. The main components of the da Vinci System include: A microscope that produces magnified 3D imagery so that the surgeon can see a high-definition representation of the internal organs, muscle tissues, and nerve endings. An ergonomically designed console, which allows the surgeon to sit before a 3D monitor to manipulate the robot during surgery. Wristed instruments that can bend and rotate in up to 7 directions. When used in surgery, a regular laparoscope is only able to move in 4 directions. The da Vinci System, therefore offers greater freedom of movement than the human hand, and as well offers higher precision and stability due to its anti-tremor technology. A patient-side cart, where the patient is positioned during surgery, designed especially for use with the da Vinci System. To introduce the robotic instruments to the body, the surgeon will make 5 small incisions in the patient’s abdomen, around the navel area. The surgeon will then sit at the console for the duration of the surgery, and manipulate the arms of the robot via a monitor. The da Vinci System will transmit micro-scaled signals from the movement of the surgeon’s hands, which will then translate into microscopic, controlled movements of the robot arms operating in the patient’s body. The da Vinci System has 4 arm instruments: Arm 1 is used to hold the 3D microscope that transmits images of the patient’s internal organs to the monitor; arms 2 and 3 are responsible for dissecting and suturing tissues; and arm 4 is responsible for moving the surrounding tissues, if necessary, to prevent interference and obstruction.
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Why should I consider having this procedure?
-Patients may experience fewer overall complications than patients who had open or laparoscopic surgery.
-Patients may stay in the hospital for a shorter amount of time than patients who had open surgery or shorter, similar, time than patients who had laparoscopic surgery.
-Patients may experience less pain than patients who had open surgery.
-Surgeons may be less likely or with similar likelihood to switch to an open procedure when performing surgery with da Vinci, compared to when performing laparoscopic surgery.