Sterling Hospital

Robotic Surgery

Why Robotic Surgery?

With the help of robotic surgery, doctors can perform many types of complex procedures compared to what is possible with conventional techniques. Generally, robotic surgery is associated with minimally invasive surgery (MIS), which means that the procedure is performed through smaller incisions. However, it is also sometimes used alongside certain conventional open surgeries. While performing a traditional minimally invasive surgery, the surgeon uses hand-held instruments that cannot bend or rotate.

In addition, the surgeon needs to stand as well as look up and away to a standard 2D video monitor during the course of the operation to see an image of the target anatomy.

The da Vinci TM system is highly ergonomic, which means that the surgeon operates the system from the console

while viewing the target anatomy in magnified and high definition 3D and with full control of the surgical instruments.

Robotic Urology Surgery

Moreover, Urology is definitely the forerunner in the use of robotic technology. The number of Radical Prostatectomy (surgery to remove all or part of the prostate gland) being performed has gone up tremendously as compared to the open surgery era. The advantages have also been extended to procedures requiring precision and accuracy like Partial Nephrectomy (surgical removal of a renal tumour), which has enabled efficient nephron (functional unit of the kidney) sparing surgery,  which helps in kidney function preservation.

Today, the following robotic assisted surgeries are now being performed with increased frequency:

  • Adrenalectomy (surgery to remove the adrenal glands)
  • Pyeloplasty (surgical reconstruction or revision of the renal pelvis to drain and decompress the kidney)
  • Radical Nephrectomy (complete removal of the kidney)
  • Partial Nephrectomy (partial removal of the kidney)
  • Radical Prostatectomy (an operation to remove the prostate gland and some of the tissue around it. It is done to remove prostate cancer)
  • Donor Nephrectomy (wherein a kidney is transplanted from a living donor to a recipient, the patient.)

Robotic Head & Neck Surgery

A groundbreaking transformation is being witnessed in head and neck surgery for benign (localised) and malignant (uncontrollable) diseases. In this field, the trend is quickly moving towards robot-assisted surgery. This significant innovation has demonstrated the potential to change the treatment models for diseases of the head and neck. A real breakthrough has been achieved with respect to Trans Oral Robotic Surgery (TORS) (a procedure wherein a surgeon uses a sophisticated computer-enhanced system to remove oral cancers) in the case of head and neck surgery. It provides an attractive alternative to radiotherapy for cancers of:

  • Tonsil
  • Back of the tongue
  • Upper part of larynx (Voice box) In terms of short treatment and recovery period, it is also excellent for early return of the swallowing function.

Robotic Bariatric Surgery

Robotic Surgery System can be beneficial in areas where doctors recommend gastric sleeve / bypass/ mini gastric bypass to treat obesity. In actuality, robotic bariatric surgery has revolutionized the bariatric / obesity surgery ecosystem. Bariatric surgery has several potential benefits over traditional laparoscopic surgery including the following:

  • Significantly lower rates of gastrointestinal leaks
  • Low wound infection rate
  • Beneficial in super obesity  (BMI more than 40)
  • Less chance of port site injuries
  • Smaller risk of conversion to traditional procedures.

Robotic Gastrointestinal Surgery

In the case of Robotic Gastrointestinal Surgery, the da Vinci TM surgical robot can be used either on its own or can assist in laparoscopic surgery, where it provides more precision to the surgical procedure. Today, the following robotic assisted surgeries are being performed with increased frequency:

  • Pancreatectomy  (surgical removal of the pancreas)
  • Whipple's Procedure
  • Dueodenectomy
  • GI Cancers like stomach cancer, large/small intestine, liver cancer, oesophageal cancer, pancreatic cancer, gall bladder cancer
  • Heller Myotomy (a surgical procedure wherein the muscles of the lower oesophageal sphincter are cut, allowing food and liquid to pass to the stomach.)
  • Umbilical / Incisional / Inguinal, Hiatus Hernia & huge Para Oesophageal Hernia (a bulging of an organ / tissue through an abnormal opening)

Robotic Gynaecology Surgery

One of the most important breakthrough in the field of gynaecologic surgery is the introduction of the da Vinci TM surgical system, which will pave the way for how surgeries will be conducted in the future. Some applications of robotics in gynaecology include surgeries and procedures such as:

  • Hysterectomy (surgical removal of the womb)
  • Myomectomy (surgical removal of the fibroids from the uterus)
  • Oophorectomy (removal of one or both of the ovaries)
  • Ovarian Cystectomy (removal of a cyst from an ovary)
  • Resection of endometriosis
  • Sacrocolpopexy (a procedure to correct prolapse of the vaginal vault)
  • Lymphadenectomy (surgical removal of one or more groups of lymph nodes)
  • Cancers of uterus and cervix
          

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