da Vinci Robotic System in India
What is the da Vinci System?
Da Vinci is a computer-assisted robotic system that expands a surgeon's capability to operate within the abdomen in a less invasive way during laparoscopic surgery. Da Vinci system allows greater precision and better visualization compared to standard laparoscopic surgery.
The operations with the Da Vinci System are performed with no direct mechanical connection between the surgeon and the patient. The surgeon is working a few feet away from the operating table, while seated at a computer console with a three-dimensional view of the operating field.
The surgeon operates two joysticks that control the two mechanical arms of the robot which are armed with specialized instruments. These mechanical arms perform the surgery through tiny holes in the patient's abdomen. The arms eliminate any hand tremors of the surgeon and offer motion scaling – allowing extremely precise movements within the patient
The video camera provides high resolution,10x magnification, three dimensional vision with depth perception. Camera is passed through a 10 mm trocar and moved by the surgeon through the console.
How does the surgeon actually perform the operation?
Using the da Vinci Surgical System, the surgeon operates while seated comfortably at a computer console viewing a 3-D image of the surgical field. The surgeon's fingers grasp the masters on the computer console and while viewing the surgical field through the da Vinci Systems. The surgeon manipulates and guides da Vinci's computer- assisted robotic arms and instruments to perform complex surgery. This advanced computer technology seamlessly translates the surgeon's movements at the computer console into precise, real-time movements of the surgical instruments inside the patient. While the surgeon's hands and fingers direct the surgery, the movements are translated by the computer to precise movement of the microsurgical instruments on the robotic arms inside the patient's body.
Benefits of Robotic Surgery: For the Surgeon
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magnified 3D visualization for optimum viewing within the operative site
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increased precision, control and range of motion of micro-instruments
tremor filtration
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improved access to and manipulation of organs, tissues and nerves
Benefits of Robotic Surgery: For the Patient
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shorter hospitalization
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reduced pain
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faster recovery times
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smaller incisions, resulting in reduced risk of infection, less blood loss and minimal scarring
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patients resume normal activities sooner
Scope of Robotic assisted Laparoscopic surgery in Urology
The da Vinci system has revolutionized minimally invasive surgery in Urology. Most operations involve working in the pelvic cavity where the movements are very difficult even with the human wrist. The Robotic arms and endowrists have a greater freedom and seven degree of movement and thus allow precise surgery in these tight locations.
Following Surgeries are commonly performed with da Vinci system:
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Radical prostatectomy for cancer prostate: the entire prostate is removed and the urinary bladder and is joined to the urethra. The 3D vision helps in accurate surgery and in preserving the nerves so that the sexual function recovers early and continence rate is very high.
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Pyeloplasty: here obstruction of the pelviureteric junction is removed and renal pelvis is joined back to healthy ureter. The Robot helps in suturing and thus improving the overall results of the operation.
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Partial Nephrectomy: this operation is done for removal of small renal tumors. Again this surgery involves precise cutting and suturing of the kidney in minimal possible time which is greatly helped by the da Vinci system.
Following operations are also done by the robotic surgery
- Radical prostatectomy for cancer prostate, Pyeloplasty
- Partial Nephrectomy
- Orthopedic Neobladder
- Pediatric Robotic-Assisted AntiReflux Surgery
- Anrenalectomy
- Ureteroneocystostomy
- Nephroureterectomy
- Ureterolysis in Retroperitoneal Fibrosis
- Ureteroureterostomy
- Ureteroneocystostomy
- Sacropexy
- Anterior and posterior colpopexy
Almost all pelvic urological, general and gynaecological surgeries can be performed by the da Vinci system. However the only disadvantage is the cost involved in procuring the equipment and its regular maintainence. This extra cost translates into higher surgical cost to the patient. Considering the fact that it allows minimally-invasive surgery to be performed with greater precision and improved functional and cosmetic results. It is expected to reduce length of stay in the hospital, complications and postoperative pain.
Thus robotic surgery actually works out cheaper in the long run.
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