Da Vinci robotic surgery

The Da Vinci robotic surgery technology is the most advanced platform for minimally invasive surgery available today. The Da Vinci robotic technology enables surgeons to perform delicate and complex surgeries through a few tiny incisions, instead of giving the patient a big cut. When Medanta doctors are performing surgery on the Da Vinci Si (the world’s most advanced surgical robot) miniaturised instruments are mounted on three separate robotic arms, allowing the surgeon maximum range of motion and precision. The Da Vinci’s fourth arm contains a magnified high-definition 3-D camera that guides the surgeon during the procedure. The hand movements of the surgeon are converted into corresponding micro-movements of instruments inside the patient’s body. The system has an ergonomically designed console where the surgeon sits while operating. Surgeons at Medanta use the Da Vinci Si robo to perform a growing number of complex urological, gynaecological, cardiothoracic and general surgical procedures.

What makes Da Vinci robotic surgery unique?

• The systematic and automated approach to the Da Vinci technology has minimised the scope for mistakes, both by human and machine.
• The machine features a magnified high-definition 3D vision system, which gives the surgeon an impeccable view of what is happening inside the body.
• The robotic arms attached to the machine are wristed and can bend at a greater angle, as compared to any human hand.
• The Da Vinci surgical system has a dual-console capability to facilitate both training and collaboration during the minimally invasive surgery.

How does it help?

The Da Vinci surgical system assists surgeons by offering an immersive view of the surgical field, improved dexterity, enhanced precision, and increased comfort while performing a surgery. With the aid of the Da Vinci surgical system, it is possible for more surgeons to perform procedures involving complex reconstruction or dissection.

Used to treat:

. Heart Valve Disease:

Da Vinci Robotically-assisted surgery is used to treat many types of complex heart surgeries (or cardiac conditions) with smaller incisions and precise motion control, offering patients improved outcomes. This technology is less traumatic for the patient, including less pain. There is less blood loss. The patient takes less time to recover and can quickly go back to the daily routine.

. Kidney cancer: 

A kidney tumour is an abnormal growth of kidney cells called nephrons. Surgery is considered the main treatment for most kidney cancers.

Da Vinci surgery, a minimally invasive surgery helps in removing precise kidney tumour and helps kidney reconstruction. There is an excellent chance of kidney preservation as there is a low rate of operative complications. When compared to traditional laparoscopy, Da Vinci surgery requires shorter operation time. The blood loss is also less.

. Prostate Cancer

Prostate cancer is a disease in which malignant (cancer) cells form in the tissues of the prostate. The prostate is a gland in the male reproductive system located just below the bladder and in front of the rectum. Da Vinci Surgery is used for more precise removal of cancerous tissue. It also has an ability to perform nerve sparring surgery which enables better chance for return of urinary contingence and faster return of erectile (sexual) function. There is lower risk of complications, injury to the rectum and injury in nerve. This surgery is a less painful surgery and the blood loss extent is also less.

. Achalasia (Swallowing disorder)

Achalasia is a disorder that makes it hard for food and liquid to pass into your stomach. It occurs when the oesophagus can no longer squeeze food down, and the muscular valve between the oesophagus and stomach doesn't completely relax. The problem is caused by damage to the nerves in the oesophagus. Da Vinci Vinci surgery aims at relaxing or forcing open the valve between the oesophagus and stomach (lower oesophagal sphincter) so that food and liquid can move more easily through your digestive tract. The operation is more precise resulting in fewer oesophagal tears. There is an improvement in emotional and general health which makes a better quality of life.

. Gall Bladder disorder

The gallbladder is a sac located under the liver. It stores and concentrates bile produced in the liver which aids in the digestion of fat. Gallbladder disease includes inflammation, infection, gallstones, and blockage of the gallbladder, polyps or tumours. Da Vinci Surgery helps in removal of gall-bladder through a single incision in the belly. This robotic surgery lowers the major complications and blood loss. It is a virtually scarless surgery resulting in patient satisfaction.

. Fibroid Tumour

Fibroids are the most frequently seen (non-cancerous) tumours of the female reproductive system. These non-cancerous tumours grow underneath the uterine lining, inside the uterine wall or outside the uterus. These fibroids can cause excessive menstrual bleeding (also called menorrhagia), abnormal periods, uterine bleeding, pain, discomfort, frequent urination and infertility. Da Vinci Surgery lowers the rate of open surgery and requires small incisions resulting in minimal scarring. It lowers the need of narcotic pain medicine. As compared to traditional laparoscopy, there is minimally invasive removal of heavier, more numerous and more difficult to access fibroids and reduces the risk of any complications.

. Endometriosis

Endometriosis is a painful disorder in which tissue that normally lines the uterus grows outside the uterus. Endometriosis typically involves ovaries, bowel or the tissue lining of the pelvis. Endometrial tissue can spread beyond your pelvic region, but it’s not a common occurrence. It causes severe pain, especially during periods and also may develop fertility problems. Da Vinci Surgery lowers the rate of open surgery and requires small incisions resulting in minimal scarring. Da Vinci's 3D, HD vision system allows surgeons to see key anatomy with depth and clarity — critical to removing deep endometrial tissue implants. As compared to traditional laparoscopy, it lowers the complications and reduces the loss of blood.

. Ulcerative Colitis

Ulcerative Colitis is a chronic inflammatory bowel disease that causes inflammation in the digestive tract. Ulcerative colitis is usually only in the innermost lining of the large intestine (colon) and rectum. It forms range from mild to severe. Having ulcerative colitis puts a patient at increased risk of developing colon cancer. The symptoms include rectal bleeding, bloody diarrhoea, abdominal cramps and pain. Da Vinci Surgery lowers the conversion rates to open surgery as compared to traditional laparoscopy. It helps in the quick return of bowel function and hence, a fast return to the normal diet. Da Vinci System, with its special features of magnified 3D, high-definition vision and special wristed instruments helps doctors to operate with the enhanced vision, precision and dexterity which reduces the rate of complications.

Article Source: https://www.medanta.org/da-vinci-surgical-system/