1. Advances in Robotic Surgery:
The da Vinci System

2. da vinci System
Robotic surgical console located within the operating suite that the surgeon manipulates to perform various techniques and procedures by replacing the surgeon’s hands with robotic arms
Provides robotic surgical services to the patient that gives better surgical enhancements and outcomes as compared to pure laparoscopic and/or open procedures

6. Why it’s cool… High resolution 3-D image at the surgical console
Robotic interface:
Manipulates surgeon’s movements exactly as performed, excluding errors the surgeon would make such as tremors
EndoWrist Instruments:
7 degrees of freedom
180° articulation
540° rotation
8mm and 5mm platforms
Over 40 instrument types

9. Procedures Performed by the da Vinci
Cardiac revascularization
Mitral valve repair*
Gastric bypass
Nissen fundoplication
Thymectomy
Lobectomy
Mediastinal tumor resection
Esophagectomy
Pyeloplasty
Prostatectomy *
Cystectomy
Nephrectomy
Uretral reimplantation
Hysterectomy*
Myomectomy
Cholecystectomy
Aortic ring ligation
Patent ductus arteriosus ligation
Atrial septal defect closure
*Focus of research for this project

10. “Minimally invasive surgery focuses more on the quality of life for the patient.” - Mehmet Oz, MD
The da Vinci provides less trauma to the body during surgery
It reduces blood loss
There is less post-operative pain and discomfort
Less risk of infection
Shorter hospital stay
Faster recovery and return to normal daily activities

11. da Vinci Prostatectomy
Normal Surgery
8-10inch incision
Large blood loss
Lengthy and uncomfortable recovery
Risk of impotence and incontinence
da Vinci Surgery
5 1-2cm incisions
reduced blood loss
Reduced pain and possible infection
Reduced incidence of impotence and incontinence due to potential nerve sparing

13. Results of Urinary Continence with the da Vinci compared to open procedures
3 months: 54%
6 months: 80%
1 year: %
da Vinci procedure
3 months: 92.9%
6 months: 94.9%
1 year: %
Studies from Locke, et al and Walsh PC, 2003

14. Results of other statistics with the da Vinci compared to open procedures
Overall potency: 71%
Estimated blood loss: 910ml
Avg Hospital Stay: 3.5 days
da Vinci Surgery
Overall potency: 86%
Estimated blood loss: 150ml
Avg Hospital Stay: 1.2 days
Results from Walsh, PC 2003, Menon, et al, 2003, Tewari, et al, 2006

15. Results of Mitral Valve Repair (versus replacement) with the da Vinci compared to open procedures
5 major differences:
Intubation time: 12.8h vs 11.4h
ICU time: 48.5h vs 35.7h
Total Blood Loss: ml vs 477.2ml
Patient’s receiving transfusions: 4 vs 2
Length of hospital stay: 9days vs 7days
Results from Folliguet, et al, 2006

16. Results of Hysterectomy with the da Vinci compared to open procedures
Pelvic Lymph Node dissection: 23.4
Transfusions: 4 pts
Hospital stay: day
Estimated blood loss: 413ml
da Vinci Surgery
Pelvic Lymph Node dissection: 37
Transfusions: 0 pts
Hospital stay: 1 day
Estimated blood loss: 135ml
Results from

17. Prostatectomy Video