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Minimally Invasive Robotic Surgery at Sunrise
Surgical technology continues to evolve with the introduction of robotics in the operating room for minimally invasive procedures. Now available at Sunrise Hospital & Medical Center, the da Vinci® Surgical System puts the surgeons' eyes and hands inside the patient with robotics through a small incision the size of a dime. The result allows greater physician precision in maneuvering than is available with the human hand for a safer operation and better patient outcome.
“This system [da Vinci] is the first step in the development of new robotic technology that eventually could change the practice of surgery,” says U.S. Food and Drug Administration (FDA) Commissioner Jane E. Henney.
The da Vinci technology enables surgeons to perform minimally invasive surgery in a manner never experienced before, and to reduce trauma, postoperative pain and surgical complications for patients by operating with the flexibility of open surgery through tiny ports.
The Sunrise da Vinci system is the first of its kind in Nevada. It is the first totally “intuitive” laparoscopic surgical robot in existence and the first operative surgical robot system in the world approved by the FDA. More than 8,500 procedures using da Vinci have been completed.
With the da Vinci technology, general laparoscopic surgery (e.g. gall bladder, esophageal reflex, gynecological surgery), thoracoscopic (chest or lung) surgery, laparoscopic radical prostatectomies (prostate removal) and cardiac surgery can now be done through a small incision instead of more invasive procedures that have been the norm. Numerous benefits for patients include reduction in postoperative pain, fewer infections, less blood loss, quicker recovery time, shorter hospital stay and enhanced cosmetic results.
The system's two primary components are the surgeon's viewing and control console and a surgical arm unit. The arm holds the endoscope for the system's camera and provides positioning and maneuverability for the system's arm ports and arms with detachable surgical instruments. The pencil-sized instruments are standard surgical tools such as a needle driver, scissors and dissectors and are attached to tiny electronically controlled “wrists”. With the wrists, doctors, for the first time, have the ability to simulate natural hand movements inside the patient during minimally invasive surgery.
The da Vinci vision component provides the same direct eye-hand-instrument alignment that surgeons have in open surgery with a true three-dimensional view of the operating field, including the necessary depth perception for manipulating delicate tissue layers. The surgeon performs procedures seated at a console, while viewing a high resolution, three-dimensional image through a monitor in the top of the console. Beneath the monitor, the surgeon's arms remain in a natural, relaxed position while his thumbs and fingers manipulate instrument handles that can be rotated, tilted, advanced or withdrawn, depending on the requirements of the procedure.
Developed with patient safety in mind, the da Vinci technology replicates the surgeon's movements in real time. It cannot be programmed, nor can it make decisions on its own to move in any way or perform any type of surgical maneuver. The instruments can't move until the surgeon peers through the viewing console.
Robotic technology for surgery was developed in 1985 when the U.S. military was investigating the possibility of having surgeons from remote locations operate on soldiers wounded in the field.