Robotic surgery is performed using a robotic system called the Da Vinci. The Da Vinci system allows surgeons to perform complex surgery through small incisions using robotic arms. It provides surgeons with improved vision, precision, and control over open and laparoscopic surgery. Robotic surgery offers patients less pain, blood loss, scarring and faster recovery times compared to open surgery. Dr. Meenakshi Sundaram is a robotic surgeon at Apollo Hospitals in Chennai who performs procedures in urology and gynecology using the Da Vinci system.
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
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
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
#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.