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Fairview Park Hospital
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mins

Robotic Surgery

Minimally Invasive and Robotic Surgery

To provide patients with a full range of treatment options, we offer many surgeries that use minimally invasive and robotic techniques. Depending on the patient and condition being treated, these can be an excellent alternative to conventional "open" surgery that typically involves large incisions.

These technologically advanced options require incisions just a few millimeters in length. The small incisions create a passageway for special surgical instruments and a fiber-optic instrument called a laparoscope. The device transmits images from within the body to a video monitor, allowing the surgeon to see the operative area on the screen.

Benefits of minimally invasive robotic surgery include:

  • Less pain
  • Less risk of infection and complications
  • Less bleeding
  • Shorter hospital stays
  • Faster recovery
  • Less risk of bowel obstructions after surgery
  • Quicker return to normal activities
  • Less trauma to the body
  • Less post-operative medication
  • Less scarring

da Vinci®  Surgery System

The da Vinci® robotic-assisted surgical system is state-of-the-art robotic technology. The system enables the surgeon's hand movements to be translated into precise movements of micro-instruments within the operative site. The magnified, three-dimensional view the surgeon experiences enables him to perform precise surgery in complex procedures through small surgical incisions. The da Vinci®  system requires that every surgical maneuver be performed with direct input from the surgeon. This groundbreaking system has been successfully used in thousands of surgical procedures worldwide.

Laparoscopic Surgery

Laparoscopic surgery uses a thin, telescopic-like instrument called a laparoscope, which is inserted through a small incision at the belly button. The laparoscope is connected to a tiny video camera that projects a view of the operative site through video monitors located in the Operating Room. The abdomen is inflated with carbon dioxide gas to allow the surgeon a better view of the operative area. Two or three additional small incisions are made near the laparoscope through which the surgeon inserts specialized surgical instruments to perform the surgery. Following the procedure, the small incisions are closed with sutures and covered with surgical tape. After a few months, the incisions are barely visible.

Surgeries that offer minimally invasive techniques

Minimally Invasive and Robotic Surgery FAQs

MIS is surgery typically performed through small incisions, or operating ports, rather than large incisions, resulting in potentially shorter recovery times, fewer complications, reduced hospitalization costs and reduced trauma to the patient. While MIS has become standard-of-care for particular surgical procedures, it has not been widely adopted for more complex or delicate procedures – for example, prostatectomy and mitral valve repair.
Despite the widespread use of minimally invasive or laparoscopic surgery in today's hospitals, adoption of laparoscopic techniques, for the most part, has been limited to a few routine procedures. This is due mostly to the limited capabilities of traditional laparoscopic technology, including standard video and rigid instruments, which surgeons must rely on to operate through small incisions. In traditional open surgery, the physician makes a long incision and then widens it to access the anatomy. In traditional minimally invasive surgery – which is widely used for routine procedures -- the surgeon operates using rigid, hand-operated instruments, which are passed through small incisions and views the anatomy on a standard video monitor. Neither this laparoscopic instrumentation nor the video monitor can provide the surgeon with the excellent visualization needed to perform complex surgery like valve repair or nerve-sparing prostatectomy. We perform robotic surgery with the da Vinci®  Surgical System.
The da Vinci Surgical System is a robotic surgical system made by the American company Intuitive Surgical. Approved by the Food and Drug Administration (FDA) in 2000, it is designed to facilitate complex surgery using a minimally invasive approach, and is controlled by a surgeon from a console. The system is commonly used for prostatectomies, and increasingly for cardiac valve repair and gynecologic surgical procedures. According to the manufacturer, the da Vinci System is called "da Vinci" in part because Leonardo da Vinci's "study of human anatomy eventually led to the design of the first known robot in history."
Some of the major benefits experienced by surgeons using robotic over traditional approaches have been greater surgical precision, increased range of motion, improved dexterity, enhanced visualization and improved access.
da Vinci®  Surgery is categorized as robot-assisted minimally invasive surgery, so any insurance that covers minimally invasive surgery generally covers da Vinci Surgery. This is true for widely held insurance plans like Medicare. It is important to note that your coverage will depend on your plan and benefits package. For specifics regarding reimbursement for da Vinci Surgery, or if you have been denied coverage, please call the Reimbursement Hotline at 1-888-868-4647 ext. 3128. From outside the United States, please call 33-1-39-04-26-90.
On the contrary, the da Vinci®  System enables surgeons to be more precise, advancing their technique and enhancing their capability in performing complex minimally invasive surgery. The System 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 without the surgeon's input.
Although seated at a console a few feet away from the patient, the surgeon views an actual image of the surgical field while operating in real-time, through tiny incisions, using miniaturized, wristed instruments. At no time does the surgeon see a virtual image or program/command the system to perform any maneuver on its own/outside of the surgeon's direct, real-time control.
The 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.
The da Vinci System is a robotic surgical platform designed to enable complex procedures of all types to be performed through 1-2 cm incisions or operating “ports.” To date, approximately 1.5 million procedures including general, urologic, gynecologic, thoracoscopic, and thoracoscopically assisted cardiotomy procedures have been performed using the da Vinci®  Surgical System.