Robotic Assisted Urology Surgery
The da Vinci® Surgical System provides an alternative to both traditional open and conventional laparoscopic surgery, putting the doctor’s hands at the controls of a state-of-the-art robotic platform. The da Vinci® System enables UPMC Susquehanna doctors to perform even the most complex and delicate procedures through very small incisions with unmatched precision.
Robotic surgery patients have a quicker recovery time. The operation is performed laparoscopically, meaning it is less invasive because it requires small punctures rather than a large incision. Most patients return to normal activity in 2 to 3 weeks instead of the 6 to 8 weeks common in standard open surgery.
Other types of procedures we can perform robotically include:
This technology involves the use of the da Vinci® robotic surgical system. This consists of a surgeon console where the surgeon controls the robot, a 4-arm robot where one arm controls a high definition camera, and the other three arms control instruments with EndoWrist® technology and a bedside surgical assistant.
Robotic-assisted urologic procedures are used to treat conditions of the kidneys, prostate, and adrenal glands, ureters. With only a few small incisions, results include less pain, minimal scarring, and quicker recovery times so you can be back to normal activities in as little as two weeks.
The instruments used during robotic surgery are unique in that they actually function like a human hand giving the surgeon proficiency, precision and maneuverability.
- New overhead boom architecture that can rotate and pivot into virtually any position
- Endoscope used to see what’s inside the body delivers sharper and more defined three-dimensional images (10 times greater than the human eye)
- Smaller, thinner arms and newly designed joints that offer a greater range of motion
- Magnified 3D HD vision ensures the surgeon can see the surgical site with a true depth perception and crystal-clear vision allows the surgeon to explore a different part of the body mid-operation without repositioning the entire apparatus
Dr. Reilly performs the following procedures using the da Vinci® surgical system:
- Prostate cancer surgery; full or partial (prostatectomy)
- Kidney disease/cancer surgery; full or partial (nephrectomy)
- Reconstruct the tubes that connect the bladder to the kidneys (ureteral re-implantation)
- Adrenal gland removal; full or partial (adrenalectomy)
- Reconstructive urinary obstruction surgery (pyeloplasty)
- Pelvic lymph node dissection or biopsies
- Bladder cancer surgery; full or partial (cystectomy)
- Bladder stone removal (cystolithotomy)
Robotic surgery is quite complex and involves a dedicated surgical team. In addition to the surgeon performing the procedure, a bedside surgical assistant along with a surgical nurse and anesthesia doctor complete the surgical team. It is important that this team work in unity to accomplish desired surgical outcomes.
Patient benefits of robotic assisted surgery may include:
- Significantly less pain, less need for narcotic pain medicine
- Less blood loss
- Fewer complications
- Shorter hospital stay
- Faster return to normal activities
- Ability to operate on hard-to-reach areas of the body
- Ability to perform complex procedures with improved visualization
- Smaller incisions associated with minimal scarring
As with any surgery, only you and your doctor can decide what the best option is for you.
Robotic Surgery Risks
Robotic surgery has risks similar to any other surgery. All surgery carries risk of infection, bleeding, and other complications. With robotic surgery, there’s a chance the surgeon may need to change to an open procedure, but this is uncommon.