ROBOTIC SURGERY
    DR.MEENAKSHI SUNDARAM
 CONSULTANT LAPAROSCOPIC AND ROBOTIC SURGEON

    DEPARTMENT OF OBSTETRICS & GYNECOLOGY



         INSTITUTE OF ROBOTIC SURGERY

          APOLLO HOSPITALS, CHENNAI
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Robotic surgery is the future text
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Robot-Advanced computer            
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BREAKTHROUGH TECHNOLOGY

Surgeons must progress beyond the
traditional techniques of cutting and sewing
……. ,to a future in which minimal access to
the abdominal cavity is only the beginning.”
                    Pappas, Jacob, NEJM 2004

How can we overcome surgeon and
equipment limitation?
HISTORY OF ROBOTICS
                  LEONARDO DA VINCI ROBOT
                  IN 1495


Image goes here
                  Term Robot was coined in
                    1920 from Czech word
                         “ Rabota” meaning
                  laborer


                  Medical Robotics in 1985-
                    PUMA 650
−   Eighth
            EVOLUTION OF ROBOTS                       Outline
                                                      Level
                                  Ninth Outline LevelClick
        Da-Vinci Robot            Da-Vinci Robotic text
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       Second Outline               Second level Outline
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                      Da Vinci Standard
                      (1999)




                  
                      Da Vinci S system
Image goes here       (2006)




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                      Da Vinci Si system
                      (2009)
Da Vinci Si system at Apollo Chennai

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Second level
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         Fifth level
HIGHLIGHTS OF ROBOTICS-CORE TECHNOLOGY



Surgeon controls the robotic arms
3-D HD vision
Endowrist instrumentation
Intuitive motion
Motion scaling-Filtration of tremors
Replicates high standard of surgery every single
time
Open Surgery   Laparoscopy   Robotic surgery


INCISION        10-20 CM       KEYHOLE       KEYHOLE


PAIN            ++++           ++            +


BLOOD LOSS      700 ML         300 ML        100 ML


SCARS           +              TINY          TINY


SURGICAL        -              -             +
AUTONOMY

POST OP         5-6 DAYS       2-3 DAYS      36 HRS OR MORE
HOSPITAL STAY

RECOVERY        LONG           SHORT         SWIFT
MASTERS
Finger “masters” controls which convert human movements
into electrical signals that direct the robot instruments
SURGICAL DEXTERITY
    Click to edit Master text styles
    Second level
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        Third level
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           Fourth level
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             Fifth level
ADVANTAGES TO THE SURGEON
•
    Immersive view through tiny 1-2cm incisions

•
    Overcome limitations of human wrist

•
    Reach inaccessible areas with ease

•
    Work in limited space

•
    No risk of transmission of diseases
ADVANTAGES TO THE SURGEON
•
    Only system that allows surgeons to operate while
    seated

•
    Better ergonomics than traditional             open
    and laparoscopic surgery

•
    Reduced surgeon fatigue

•
    Minimal invasive approach possible even for Obese
    patients
ADVANTAGES TO THE PATIENT

•
    Keyhole surgery
•
    Less pain
•
    Lesser trauma
•
    Less blood loss
•
    Faster recovery
•
    Shorter hospital stay
•
    Less need for medication
•
    Safe, accurate and precise
APPLICATIONS IN CLINICAL PRACTICE


Urology
Gynecology
General Surgery
Cardiothoracic
Head and Neck surgery
Bariatrics
Robotic Urology Procedures
             Performed
Radical Prostatectomy
Radical Cystectomy
Partial Nephrectomy / Radical Nephrectomy
Adrenalectomy
Pyeloplasty
Ureteral Reimplantation
Urinary Fistula Repair
Robotic Urology Procedures
             Performed
Radical Prostatectomy
Radical Cystectomy
Partial Nephrectomy / Radical Nephrectomy
Adrenalectomy
Pyeloplasty
Ureteral Reimplantation
Urinary Fistula Repair
Facilitate successful completion of


complex laparoscopic procedures
•
 Advanced endometriosis
•
 Complex layered suturing like in myomectomy
•
 Extensive clearance in malignancy
•
 Precise dissection in Sacrocolpopexy
•
 Accuracy in Tubo-tubal anastomosis
Gynecological Oncology

 Radical hysterectomy for cervical and endometrial
 cancers
 Para-aortic and Pelvic lymph node dissection
 Trachelectomy
 Oophorectomy
DR.MEENAKSHI SUNDARAM
CONSULTANT LAPAROSCOPIC AND ROBOTIC SURGEON,
  DEPARTMENT OF OBSTETRICS AND GYNECOLOGY




                                  Apollo Hospitals (Main)
                                        21, Greams Lane
                                       Off Greams Road
                                       Chennai - 600006

                       Phone: +91-44-28290200/28293333

Robotic Surgery - Dr. Meenakshi Sundaram

  • 1.
    ROBOTIC SURGERY DR.MEENAKSHI SUNDARAM CONSULTANT LAPAROSCOPIC AND ROBOTIC SURGEON DEPARTMENT OF OBSTETRICS & GYNECOLOGY INSTITUTE OF ROBOTIC SURGERY APOLLO HOSPITALS, CHENNAI
  • 2.
    Click to editthe  Robotic surgery is the future text outline format Robot-Advanced computer  Second integrated interphase Outline Level − Third Outline Level  Fourth Outline Level − Fifth
  • 3.
    BREAKTHROUGH TECHNOLOGY Surgeons mustprogress beyond the traditional techniques of cutting and sewing ……. ,to a future in which minimal access to the abdominal cavity is only the beginning.” Pappas, Jacob, NEJM 2004 How can we overcome surgeon and equipment limitation?
  • 4.
    HISTORY OF ROBOTICS LEONARDO DA VINCI ROBOT IN 1495 Image goes here Term Robot was coined in 1920 from Czech word “ Rabota” meaning laborer Medical Robotics in 1985- PUMA 650
  • 5.
    Eighth EVOLUTION OF ROBOTS Outline Level Ninth Outline LevelClick Da-Vinci Robot Da-Vinci Robotic text to edit Master arms styles Click to edit Master outline  Click to edit the text  Click to edit the outline Click to edit Master text styles format text text format styles Second level  Second Outline Second level Outline  Second Third level  Level  Third level Levellevel Fourth level  Fourth  − Third Fifth level Outline  − Fifth level Outline Third  Level Level  Fourth Outline  Fourth Outline Level Level − Fifth − Fifth Outline Outline Level Level − Sixth − Sixth Outline Outline
  • 6.
    Da Vinci Standard (1999)  Da Vinci S system Image goes here (2006)  Da Vinci Si system (2009)
  • 7.
    Da Vinci Sisystem at Apollo Chennai Click to edit Master text styles Second level  Third level  Fourth level  Fifth level
  • 8.
    HIGHLIGHTS OF ROBOTICS-CORETECHNOLOGY Surgeon controls the robotic arms 3-D HD vision Endowrist instrumentation Intuitive motion Motion scaling-Filtration of tremors Replicates high standard of surgery every single time
  • 9.
    Open Surgery Laparoscopy Robotic surgery INCISION 10-20 CM KEYHOLE KEYHOLE PAIN ++++ ++ + BLOOD LOSS 700 ML 300 ML 100 ML SCARS + TINY TINY SURGICAL - - + AUTONOMY POST OP 5-6 DAYS 2-3 DAYS 36 HRS OR MORE HOSPITAL STAY RECOVERY LONG SHORT SWIFT
  • 11.
    MASTERS Finger “masters” controlswhich convert human movements into electrical signals that direct the robot instruments
  • 12.
    SURGICAL DEXTERITY Click to edit Master text styles Second level  Third level  Fourth level  Fifth level
  • 14.
    ADVANTAGES TO THESURGEON • Immersive view through tiny 1-2cm incisions • Overcome limitations of human wrist • Reach inaccessible areas with ease • Work in limited space • No risk of transmission of diseases
  • 15.
    ADVANTAGES TO THESURGEON • Only system that allows surgeons to operate while seated • Better ergonomics than traditional open and laparoscopic surgery • Reduced surgeon fatigue • Minimal invasive approach possible even for Obese patients
  • 16.
    ADVANTAGES TO THEPATIENT • Keyhole surgery • Less pain • Lesser trauma • Less blood loss • Faster recovery • Shorter hospital stay • Less need for medication • Safe, accurate and precise
  • 17.
    APPLICATIONS IN CLINICALPRACTICE Urology Gynecology General Surgery Cardiothoracic Head and Neck surgery Bariatrics
  • 18.
    Robotic Urology Procedures Performed Radical Prostatectomy Radical Cystectomy Partial Nephrectomy / Radical Nephrectomy Adrenalectomy Pyeloplasty Ureteral Reimplantation Urinary Fistula Repair
  • 19.
    Robotic Urology Procedures Performed Radical Prostatectomy Radical Cystectomy Partial Nephrectomy / Radical Nephrectomy Adrenalectomy Pyeloplasty Ureteral Reimplantation Urinary Fistula Repair
  • 20.
    Facilitate successful completionof  complex laparoscopic procedures • Advanced endometriosis • Complex layered suturing like in myomectomy • Extensive clearance in malignancy • Precise dissection in Sacrocolpopexy • Accuracy in Tubo-tubal anastomosis
  • 21.
    Gynecological Oncology Radicalhysterectomy for cervical and endometrial cancers Para-aortic and Pelvic lymph node dissection Trachelectomy Oophorectomy
  • 22.
    DR.MEENAKSHI SUNDARAM CONSULTANT LAPAROSCOPICAND ROBOTIC SURGEON, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY Apollo Hospitals (Main) 21, Greams Lane Off Greams Road Chennai - 600006 Phone: +91-44-28290200/28293333

Editor's Notes

  • #2 ----- Meeting Notes (5/8/12 11:47) ----- Re
  • #19 Photo Courtesy of ISI P/N 870273 Speaker Notes: There are numerous pediatric procedures being performed using the da Vinci system. While Pyeloplasty’s are the most frequently performed, surgeons are realizing the benefits of da Vinci especially in reconstructive procedures, and expanding their pediatric robotic surgery offering to include many additional procedures. Listed here are ten of the common da Vinci pediatric procedures performed.
  • #20 Photo Courtesy of ISI P/N 870273 Speaker Notes: There are numerous pediatric procedures being performed using the da Vinci system. While Pyeloplasty’s are the most frequently performed, surgeons are realizing the benefits of da Vinci especially in reconstructive procedures, and expanding their pediatric robotic surgery offering to include many additional procedures. Listed here are ten of the common da Vinci pediatric procedures performed.