Hands Inside the Body - NCH Acquires The Advanced, 4th Generation, da Vinci Surgical System
Robert Grossman, MD, Brian Solomon, MD, Marc Colton, MD in front of the da Vinci Surgical System
N CH has joined a collection of healthcare which utilize advanced, robotic, computer and optical technologies. Surgeons can now perform complex procedures with precision in a way that surpasses the capabilities of the human hand and naked eye in the areas of systems across the country that currently offer the latest 4th generation da Vinci surgical system — the da Vinci Xi and X Robots,
perform surgery,” he adds. “Previously, open surgery had limitations with the incision healing-time, risk of blood- loss, long hospital stays and recovery, making these surgeries riskier to patients.” The da Vinci surgical system include four robotic “arms,” the operative surgeon’s console where the physician sits and controls arm and hand movements, a patient cart and a vision cart with a high-visual capability monitor. For now, Brian Solomon, MD, NCH cardiovascular and thoracic surgeon, says he is focusing on lung-related robotic procedures. In time, he will also be performing cardiac procedures. “Today, by advancing the standard of care for lung surgery, we are advancing into the future and doing something few other hospitals in the state are doing,” states Dr. Solomon. “The da Vinci Xi Robot allows thoracic surgeons to perform many procedures with small access. We can remove an entire lung with a two- inch back incision and send patients home the next day, reducing the hospital stay from seven days to one day. It’s remarkable.” Furthermore, women can benefit greatly from the advantages of this technology. “The daVinci Xi platform further enhances the gynecologic surgeon’s ability to perform more complicated procedures, all while reducing blood loss, post-operative pain, post operative infection rate, and length of recovery as compared to other surgical approaches,” explains Max Kamerman, MD, Department Chair of obstetrics & gynecology at NCH.
“This state-of-the-art and minimally invasive technology will benefit those patients with large/multiple fibroid tumors, endometriosis, and various forms of pelvic organ prolapse.” “The scope and complexity of procedures and surgeries that can be performed with incredible precision using the da Vinci surgical system, are truly exceptional,” say Drs. Colton, Grossman, Kamerman and Solomon, “and we are happy that patients can benefit from this technology here at NCH so they can get back to the activities they enjoy.”
urology, thoracic and general surgery with the da Vinci Xi, and gynecologic surgery with the da Vinci X. With the da Vinci surgical system, surgeons operate through just a few small incisions using mechanical wrists that bend and rotate to mimic the movements of the human wrist
Dr. Kamerman, MD
allowing the surgeon to make small, precise movements inside the body. As a result, this technology enables your surgeon to operate with enhanced vision, precision and control. Before the advent of robotic surgical techniques, surgeons could utilize a small 2D camera to perform minimally invasive laparoscopic surgeries. However, surgeons could not perceive depth while working laparoscopically. “With the da Vinci Xi Robot, the 3D-HD is highly magnified, so we have a close-up view of the area we are operating on,” explains NCH urologist Marc Colton, MD. Unlike human arms that rotate only 180 degrees, the da Vinci Xi robotic arms can rotate 270 degrees, and are able to dock with a specific area or organ. “I can cauterize tiny blood vessels, sew delicate tissues, and preserve small nerve bundles without any usual intension tremor; it’s like having a very steady hand inside the body,” says Dr. Colton. “With two extra arms and a better set of eyes that allows for better visualization, we have less blood loss and shorter hospital stays,” says Robert Grossman, MD, NCH general surgeon. “Colon surgery has a national average of nine to 11 days of hospital stay; with this technique, I have had patients discharged in 46 hours, with the average stay just three to five days.” “One of the reasons the robot is so revolutionary is because of the decreased amount of time it takes to
Benefits of the da Vinci Robot Surgical System to patients
Types of surgical procedures performed with the da Vinci Xi Robotic-assisted surgery
GYNECOLOGIC SURGERY: ■ Hysterectomy for benign conditions and cancer ■ Pelvic organ prolapse ■ Myomectomy ■ Endometriosis resection THORACIC SURGERY: ■ Procedures from small lung biopsies to large cancer resections
UROLOGY: ■ Kidney procedures ■ Reconstruction and implantation ■ Bladder removal (cystectomy) ■ Prostate removal (prostatectomy) GENERAL SURGERY: ■ Colon resection with reconnection in the body ■ Gastric resections ■ Esophageal procedures ■ Bariatric procedures ■ Abdominal wall hernias (inguinal, incisional, umbilical)
■ Shorter hospital stay ■ Less blood loss ■ Fewer complications ■ Less pain ■ Faster recovery time ■ Smaller incisions associated with minimal scarring
For more information, contact the NCH Heart Institute at (239) 624-1000, or NCH General Surgery at (239) 624-4650, or NCH Urology at (239) 624-1160
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