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Heart & Vascular Institute – Memorial City: Robotic-Assisted Surgery
           
 

Heart & Vascular Institute – Memorial City

Robotic-Assisted Surgery

About the System
How It Works
Patient and Surgeon Benefits
Quality Spotlight - Off-Pump Bypass Surgery

Robotic-assisted surgery is the latest development in minimally invasive surgery (MIS). Robotic surgical systems give surgeons the flexibility of traditional open surgery while operating through tiny incisions.


The InSite® Vision System

Memorial Hermann’s innovative technology offerings include the da Vinci® Surgical System, the first operative surgical robotic system in the world approved by the United States Food and Drug Administration (FDA). The da Vinci Surgical System integrates robotics, computer technology and surgical skill to simplify a number of existing surgeries, transforming traditionally invasive surgeries into minimally invasive procedures.

Two of Memorial Hermann's da Vinci systems are used clinically for a variety of surgical procedures, while the third is an essential component of the Memorial Hermann Institute for Cardiovascular Research and Robotics Technology. This training and research center opened in January 2003 and already has trained numerous surgical teams from around the country. It is the second largest training site for robotic surgery in the nation and the only one in the southwest. The research center allows physicians affiliated with Memorial Hermann to be at the forefront of this groundbreaking technology.

The da Vinci Surgical System can be used for a number of surgical procedures, including:

  • Mitral valve repair
  • Gastric bypass surgery
  • Radical prostatectomy

Photo: © 2004 Intuitive Surgical, Inc.
         

 
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About the System

The system:

  • Simplifies many existing MIS surgeries.
    Surgical procedures routinely performed today using MIS techniques may be performed more quickly and easily with the da Vinci Surgical System. The system looks and feels like open surgery to the surgeon.
      
  • Makes difficult MIS operations routine.
    Some procedures are extremely difficult and are performed by only a select number of highly skilled surgeons. The da Vinci Surgical System enables more surgeons at additional institutions to perform these procedures routinely with confidence.
      
  • Makes new MIS procedures possible in most surgical specialties.
    A number of surgeries that cannot be performed with minimally invasive techniques today can be performed through 1-cm ports using the da Vinci Surgical System. The intuitive motion, enhanced 3-D Vision system and comprehensive suite of EndoWrist Instruments enable breakthrough surgical techniques.

How It Works

The da Vinci Surgical System comprises three main components:

The InSite® Vision System provides the surgeon a true minimally invasive 3-D view of the surgical field using a high resolution 3-D endoscope (tiny camera) and image processing equipment.

The Surgical Cart with EndoWrist® Instruments provides three robotic arms — two instrument arms and one endoscope arm — that execute the surgeon's commands. The EndoWrist Instruments are designed to mimic the movement of the human hands, wrists and fingers, and each has a specific surgical mission. This increased range of motion allows precision not generally available in standard minimally invasive procedures.

The Surgeon Console contains the master controls that the surgeon uses to manipulate the EndoWrist Instruments, which move only when commanded by the surgeon. The 3-D image provided by InSite Vision System is aligned over these master controls and provides the natural hand-eye coordination that is innate in open surgery.

Photo: © 2004 Intuitive Surgical, Inc.

Patient and Surgeon Benefits

Patient Benefits
Since only small incisions and tiny instruments are used in da Vinci procedures, patients experience less postoperative pain. Other patient benefits include:

  • Shorter hospital stay
  • Faster recovery
  • Decreased risk of infection
  • Reduced amount of blood loss and need for transfusion
  • Less scarring
  • Reduced hospitalization costs

Surgeon Benefits
The da Vinci Surgical System extends the surgeon’s capabilities through:

  • Enhanced 3-D Visualization: Provides the surgeon with a true 3-dimensional view of the operating field. This direct and natural hand-eye instrument alignment is similar to open surgery with “all-around” vision and the ability to zoom in and out.
  • Improved Dexterity: Provides the surgeon with instinctive operative controls that make complex MIS procedures feel more like open surgery than laparoscopic surgery.
  • Greater Surgical Precision: Permits the surgeon to move instruments with such accuracy that the current definition of surgical precision is exceeded.
  • Improved Access: Surgeons perform complex surgical maneuvers through 1-cm ports, eliminating the need for large, traumatic incisions.
  • Increased Range of Motion: EndoWrist Instruments restore full range of motion and ability to rotate instruments more than 360 degrees through tiny incisions.
  • Reproducibility: Enhances the surgeon’s ability to repetitively perform technically precise maneuvers such as endoscopic suturing and dissection.
  • Training: Training for da Vinci Surgical System is easily accessible at Memorial Hermann Hospital in the Texas Medical Center.

Photo: © 2004 Intuitive Surgical, Inc.

 

 
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