Da Vinci-The Next Level Technology in Surgical Excellence and Patient Safety

mayur raval
CancerCareNews
Published in
3 min readDec 4, 2019

Robotic surgery is one of the many outcomes of medical technology advancement. Robotics surgery ensures surgery with real-time imaging and specialised instruments. As a result of it, the operating time is reduced and the hospital staying time has become shorter.

What is Da Vinci?
It is a robotic surgical system that gives a less invasive alternative to open surgery and laparoscopy. Through a few tiny incisions, this robotic surgery offers greater precision, vision and control to the surgeons. The patient recovers quickly and can be moved to further treatment and also starts leading normal life sooner.

There are many benefits that are offered in the Da Vinci Robotic Surgery System, they are:

During Surgery
● Enhanced dexterity
● Great vision
● Less chance of human error
After Surgery
● Low risk of complications and infections
● Less blood loss
● Less blood transfusion
● Quick recovery
● Less pain
● Very small and less scarring due to tiny incision
● Shorter hospital stay
● Fater ability to get back to normal life

Working of the Da Vinci Robotics Technology
This surgical system was invented in 2000, and in a very short period of time, this technology becomes a popular and reliable surgical method to the surgeons. Da Vinci Robotic Technology consists of two parts,

1. Surgeon’s console
This is placed in the same room with the patient. The surgeon sits on the console and gets a great 3D view of the patient with the help of a stereoscopic monitor. This also gives 360 access to the surgeon and shows the movement of the robot arms.

To control the video, audio and system settings a touch pad is also there along with a foot paddle at the bottom to interchange between energy sources. The whole thing makes sure that the surgeon is in a relaxed posture.

2. Robot arms
The robot has four robot arms, out of them, three arms hold various surgical pieces of equipment and the rest one holds the 3D camera. Through the small incisions, a tiny camera and the instruments are placed inside the patient’s body. The tiny camera offers the surgeon the proper view of the inside area and also provide a better operative platform than laparoscopy. The arms imitate the movement of the surgeon along with providing fingertip precision. This is fully controlled by the surgeon.

The full system is placed over the patient. One surgeon at the console operates the robot while seating and another surgeon stay by the patient to ensure that instruments are placing at the proper area. In order to give a 2D view of the surgery to the surgical team, additional video links are connected around the operation theatre.

There are different procedures of Da Vinci Robotic Surgery, they are

Cardiac surgery:
● Mitral Valve Prolapse
● Coronary Artery Disease
Colorectal surgery:
● Colectomy
● Rectal Resection

General surgery:
● Pancreatectomy (Benign & Cancer)
● Bariatric surgery
● Gastrectomy
● Hernia Repair
● Nissen Fundoplication (acid reflux surgery)
● Heller Myotomy (surgery for swallowing disorders)
● Cholecystectomy (Gallbladder surgery)

Thoracic surgery:
Lobectomy

Gynaecological surgery:
● Hysterectomy (Benign & Cancer)
● Myomectomy
● Sacropolpoplexy (Pelvic prolapse surgery)
● Endometriosis Resection

Head & Neck Surgery:
TORS- Trans Oral Robotic Surgery (Throat cancer)

Urological surgery:
● Radical prostatectomy
● Radical nephrectomy
● Reconstructive renal & ureteral surgeries
● Radical nephroureterectomy
● Adrenalectomy
● Cystectomy
● Urinary diversions
● Laparoscopic pyeloplasty for ureteropelvic junction obstruction (UPJO)

Most of the surgeons are using this method of Robotic surgery in Bangalore. It is one of the most updated surgery technique. As it is performed by a controlled robotic system, it also ensures more safety to the patient.

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