Minimally Invasive Robotic Surgery
Surgeons at Rancho Springs Medical Center perform robot-assisted surgery using the da Vinci® Xi™ Robotic Surgical System. This advanced machine gives surgeons more flexibility and precision than ever before. It enables doctors to perform complex procedures using smaller incisions than standard surgery with tiny, precision tools operated robotically. This may result in less pain, scarring, trauma and blood loss than other surgical procedures so that patients can potentially return to work and daily activities more quickly.
Robotic techniques are used at Rancho Springs in general, gynecologic and urologic surgery, for procedures such as hysterectomies, nephrectomies (removal of part of, one or both kidneys), prostatectomies (removal of the prostate gland) and removal of the gallbladder.
Podcast: Urologic Robotic Surgery
Learn more about how da Vinci® robotic surgery at Rancho Springs Medical Center has helped our patients return to the activities they enjoy sooner and with less pain in this educational health podcast.
Advantages of Minimally Invasive and Robotic Surgery
Both robotic surgery and laparoscopic surgery are known as minimally invasive procedures. In both procedures, small incisions are used, which may result in less post-operative pain, reduced blood loss, less need for blood transfusions and a potentially faster recovery time. The two major drawbacks of conventional laparoscopy (without the use of robotic instrumentation) are that it relies on the use of rigid, hand-held instruments, and visualization is provided by a standard 2D video monitor rather than a 3D field. While standard laparoscopic surgery is performed using small incisions, the surgeon's depth of field, dexterity and precision may be variable.
- Potential benefits of minimally invasive robotic surgery over open surgery include:
- Shorter hospital stay (one day in most cases versus three to five days)
- Significantly less pain post-operatively (often only over-the-counter pain medications are required)
- Quicker recovery and return to normal activities (one to two weeks versus six to eight weeks)
- Fewer complications and less risk of infection
- Less scarring: Small, dime-sized incisions versus a six- to eight-inch scar.
How the da Vinci Xi Robotic Surgical System Works
Surgeons at Rancho Springs Medical Center operate the da Vinci system using a computer console that's located close to the patient. This is how the surgeon controls the machine’s robotic arms. The surgeon finds the optimal position for the procedure using the Xi’s sophisticated targeting system. Once the best area is located, the da Vinci system will configure itself to give the surgeon a greater range of motion. With pinpoint accuracy, the surgeon then uses the robotic arms to make a series of three small incisions, or ports, in the surgical area. The arms are then inserted into the body.
There is a tiny video camera on one of the arms and the other two arms are equipped with special surgical instruments. The camera gives the surgeon a 3D, high-definition image of the surgical site from inside the patient's body, which they can magnify up to 10 times. The surgeon can take advantage of the enhanced vision and movement of the robotic arms, resulting in a better outcome for the patient.
Best Candidates for Robotic Surgery
Not all procedures can be done robotically, and not all patients are candidates for procedures that can be performed robotically. The best candidates for robotic surgery are chosen on an individual basis by your doctor. Ask whether or not your diagnosis and situation will lend itself to robotic surgery.