Robotic surgery expert

What exactly is robotic surgery?

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

Do you do the entire surgery yourself, from beginning to end?

Yes, for robotic surgery myself and my fellows are present throughout and conduct every step of the surgery. The use of the word robotics means that we perform the procedure however has the assistance of robotic technology. We are present for the entire procedure and never leave the room. The surgeons perform every step of the operation.

What are the benefits of using the da Vinci Surgical System when compared with traditional methods of surgery?

Some of the major benefits of using the da Vinci Surgical System over traditional, conventional approaches have benefited both the surgeon and the patient. For the surgeon, there is increased surgical precision, enhanced visualization and improved access for patients that may have otherwise been difficult to operate on. Benefits for patients compared with traditional surgical approach may include a shorter hospital stay, less pain, less risk of infection, less blood loss, fewer transfusions, less scarring, faster recovery and a quicker return to normal daily activities.

While using the da Vinci Surgical System, can the surgeon feel anything inside the patient's abdomen or pelvis?

The da Vinci system relays some force feedback sensations from the operative field back to the surgeon throughout the procedure. This force feedback provides a substitute for tactile sensation and is augmented by the enhanced vision provided by the high-resolution 3D view. Although this is not as precise as tactile sensation in open or traditional laparoscopic procedures, the procedures are able to be compeleted with the resources provided by the robot as well as with the help of bedside assistants..

What is the difference between standard Laparoscopy and robotic surgery?

Traditional laparoscopic surgery is performed through small incisions on the abdomen about 0.5-1.2 cm. The laparoscope is a small telescopic camera that is placed through the umbilicus and allows for indirect two-dimensional visualization of the entire abdomen and pelvis. Long narrow instruments are used through the small incisions in the abdomen to perform the surgery. other small keyhole incisions on the abdominal wall. Surgery is performed with The end of the instrument can open, close and rotate, but does not provide any additional range of motion. Because of these limitations, laparoscopic surgical proficiency in complicated procedures is very difficult to achieve. However for skilled laparoscopic surgeons robotic assistance does not offer any additional advantages.

Da Vinci Surgery is another type of laparoscopic surgery which provides a 3-D visual of the operative field. The robotic arm holds the laparoscope which allows the surgeon direct control of the surgical image. As described previously, the surgical instruments are controlled by the surgeon who is at the console and allows the surgery to be directed remotely by the surgeon. Incisions used for robotic surgery are slightly bigger than for the conventional laparoscopy 8 mm vs. 5 mm.