Name of advanced technology in surgery: Da Vinci Robotic Surgery
Da Vinci Robotic Surgery, or robotic technology, is the most advanced technology that surgery has reached in the medical world. Robotic surgery, which stands out with the important advantages it offers to both the surgeon and the patient, can be applied in many branches.
Contents
What Does Robotic Surgery Do, What Is Its Importance?
What are the General Features of Da Vinci Technology?
What are the features of Da Vinci Xi technology?
In which diseases is it used? Scope of application
How is it applied?
Da Vinci Robotic Surgery in urology surgeries
Kidney protective effect in kidney tumor surgeries
4 hole testicular cancer surgery with robotic surgery
Superior technology success in cancer surgery
Da Vinci robotic surgery in General Surgery surgeries
Robotic technology in cancer surgery
colorectal surgery
HPB (Liver-Pancreas-Biliary tract) surgery
Laparoscopic and Robotic surgery in pancreatic cancer surgery
Robotic Bariatric Surgery-Obesity Surgery
Robotic surgery in pediatric urology
Robotic intervention in the heart
What Does Robotic Surgery Do, What Is Its Importance?
The surgeries performed by the surgeon thanks to robot technology provide a comfortable healing process without creating incisions in the body and increase the patient’s quality of life. It is used especially in urology, pediatric urology, gynecology, general surgery, obesity surgery, thoracic surgery, cardiovascular surgery operations in Turkey. Da Vinci robotic surgery has the distinction of being one of the most successful surgical methods used all over the world, especially in the fight against cancer.
What are the General Features of Da Vinci Technology?
The procedure is done through small holes according to the location of the surgery area.
The surgeon performs the operation with the help of a robot. The surgeon sees the operation area most clearly with the help of the camera, moves his fingers and performs the surgery with the commands he gives to the robot.
The application can be made accurately and precisely.
The patient experiences less pain in the postoperative period with the robot compared to conventional surgeries.
What are the features of Da Vinci Xi technology?
Da Vinci Xi is a revolution in medical technologies, it provides important advantages to the doctor and patient during the operation process compared to classical surgical methods.
For the patient;
It is more advantageous from a cosmetic point of view
Bleeding is less
Pain is much less compared to classical surgeries.
The duration of hospital stay is shortened after Da Vinci Xi Robotic Surgery.
Depending on the nature of the surgery, the convenience provided to the patient may also vary.
With robotic surgery, the recovery time is faster, the time for the patient to stand up after the operation is shortened.
For the surgeon;
Provides 3D high definition (3D HD) images
Thanks to the 16 times magnified image, it is possible to work with real depth perception.
Real-time images are obtained with the fluorescent display capability.
Thanks to the attachment of the camera to any of the 4 arms on the patient console, every area can be easily reached.
Robot arms have superior movement characteristics, there is no risk of vibration.
Due to the installation of the device, the patient can be approached from any angle
With the thinness of the device arms and flexible port placement, remote points can also be reached.
With the laser targeting system, the surgery can be performed in the most suitable position.
In which diseases is it used? Scope of application
kidney tumors
bladder cancer
testicular cancer
Stenosis of the bladder outlet (UPJ stenosis) in children and adults
Treatment of urinary incontinence in women and men
Removal of the kidney (nephrectomy)
UPJ stenosis in children
Vesicoureteral reflux surgery in children
Double kidney anomalies in children
Adrenal gland surgery in children
neurogenic bladder in children
Uterine cancer
cervical cancer
Myoma surgery
endometriosis
Gastric cancer
Reflux Surgery
Stomach Hernia
Achalasia (Lower End Strictures of Esophagus)
Strictures of the Small Intestine (due to Crohn’s disease)
Small Intestine Tumors
Colon cancers
Rectal cancers
Prolapse surgeries
Neuroendocrine Surgery
Pancreatic body, tail cysts and tumors
Spleen disorders, conservative surgeries
Gallbladder and biliary tract operations
Spleen operations
pancreatic cancer
obesity surgery
Mitral valve repair and replacement
Coronary bypass
Arrhythmia surgeries
heart tumors
ASD closure
How is it applied?
Robot-assisted laparoscopic surgery, known as “robotic surgery”, has three main features. The first of these, the imaging system, works with the principle of laparoscopic surgery. In other words, the image from inside the patient’s body is transferred to the surgeon with the help of a camera. In robotic surgery, unlike laparoscopic surgery, this image is three-dimensional and it is a clear image without flicker since the camera control is performed by the robot. By getting very close to the organ to be operated on, clear images can be obtained at larger magnifications. The surgeon controls the robot arms with the help of a console. These robot arms are placed on the patient. Fiberoptic cables in the console go to the arms of the robot and transfer the small hand movements of the surgeon to the robotic arms, and the instruments such as surgical scissors, tissue or needle holders connected to them are provided to make the desired movements. Since surgical instruments attached to robotic arms can rotate 540 degrees, they can move in a way that does much more than hand movements. In addition, the natural tremor in the human hand is not reflected at all on the ends of surgical instruments in robotic surgery. In this way, the margin of error is also minimized.
Da Vinci Robotic Surgery in urology surgeries
Robotic Surgery was first used in the field of cardiovascular surgery in 1994. However, the most common usage area was urology surgeries. da Vinci, which has been used mostly in prostate cancer surgery all over the world since 2001; It is also used in kidney, bladder and testicular cancers.
The ‘Da Vinci Robotic Surgery’ technique is not a completely robotic surgical application. When it comes to operations performed with open, laparoscopic or robotic methods, the experience of the surgical team is the most important factor in the success of the operation.
Nerve protection feature in prostate cancer surgeries
Sexual dysfunction and urinary incontinence, two very important risks that negatively affect men’s social lives, can be seen after prostate cancer surgery, which is the most common male cancer in developed countries, especially in men over the age of 50. In prostate cancer surgeries performed with the ‘da Vinci Robotic Surgery’ technique, these risks that may adversely affect the patient’s quality of life are minimized. The erection nerves adjacent to the prostate and going to the penis and the urinary retention muscles can be protected much better thanks to robot technology. Thanks to this qualified protection, the risk of urinary incontinence and penile erectile dysfunction is minimized. With the “Intrafacial Nerve Protection” technique applied with robot surgery, the risk of having sexual activity problems after the operation is minimized.
Privileges provided by da Vinci to the patient in prostate surgery:
The hospital stay after da Vinci Robotic Surgery is 1 or 2 days. Approximately 95% of the patients went home on the second day after surgery.
Compared to traditional open surgery, very little blood loss occurs during the surgery. No pre-operative blood preparation is required.
During the hospital stay and after leaving the hospital, very little painkiller use is required. Because patients do not feel pain.
The catheter placed in the urinary tract is usually removed within the first week after surgery (approximately 4 or 6 days later). In open surgery, this period usually varies between 14 and 21 days.
Approximately 90% of patients return to their routine work after surgery or in the 3rd week with da Vinci Robotic Surgery.
Kidney protective effect in kidney tumor surgeries
In kidney tumor surgeries performed with the “da Vinci” technique, cancer control is provided in the best way. Only the tumor tissue is removed and the healthy kidney is left in the patient. The tumor is removed from the kidney by easily calculating the depth of the tumor in the tissue under a three-dimensional and high-resolution enlarged image with robot technology. The area where the tumor came out can be sutured quickly and with depth control. After the tumor tissue is removed, the tissue gap, opened veins and injured urinary channels are repaired gracefully and quickly using robotic arms. In large-scale kidney cancer, it can be applied to remove the kidney.
Privileges provided by da Vinci to the patient in kidney surgery:
The hospital stay is short and recovery is fast.
There is less pain and less painkiller use after surgery.
The patient returns to his daily activities in a short time.
Due to small surgical incisions, the aesthetic appearance does not deteriorate.
The surgery is performed with robotic arms where the shaking effect is eliminated.
4 hole testicular cancer surgery with robotic surgery
Closed testis surgery with da Vinci Robotic Surgery is successfully performed in Memorial Bahçelievler, Şişli and Ankara Hospitals. Testicular cancer surgeries, which are based on the principle of cutting the abdominal wall between the pelvis, removing the intestines and cleaning the lymph nodes around the great vessels, starting from the lower end of the bone, known as the belief board, when performed openly, can be performed through a few completely closed holes with robot technology. The large incisions required for open surgery of testicular cancer patients become history with the comfort provided by robotic surgery, and surgery provides patients with great privileges.
with testicular cancer surgeries performed with da Vinci Robotic Surgery;
Pain, infection and wound healing risks in large incisions are reduced by robotic surgery.
As in open surgery, the patient’s intestines are not taken out. Therefore, risks such as infection and drying in the intestines are eliminated.
Some neural structures that affect sexual functions and are located around the aorta or great vessels can be seen more clearly with the robotic surgery technique. It can be protected more effectively. Thus, there are fewer problems with ejaculation.
Since chemotherapy can have long-term side effects, robotic surgery may be advantageous in certain patient groups.
Difficulties to be experienced in patients having a child after surgery; The sperm taken from the patient before the surgery can be stored in the sperm bank and eliminated by assisted reproductive techniques.
ARTIFICIAL BLADDER FROM THE BOTTOM WITH da Vinci
In developed countries; Bladder cancer, which is 4th in men and 7th in women, is treated with da Vinci Robotic Surgery without creating an incision in the body. In open bladder cancer surgeries; At a point starting 4-5 cm above the navel, the bladder and lymphatics are cleaned with an incision extending to the pelvis, and the bladder made from the intestine is connected to the normal urinary canal. In addition, patients whose bladders were removed may have social problems such as carrying bags in their abdomens or emptying their urine by using a catheter at regular intervals. Two different principles are applied in bladder cancer surgeries performed with da Vinci Robotic Surgery. First; After the removal of the bladder and lymph nodes is done with the robot, the surgery to create a new bladder from the intestines is performed with the open method, and the operation is completed. However, a large incision is required for this surgical technique, and since the intestines are waiting outside the body, problems such as infection, drying, fluid and heat loss may occur. In Memorial Bahçelievler, Şişli and Ankara Hospitals Robotic Surgery Center, bladder cancer surgeries are performed completely closed, as they are performed by very few centers and surgeons in the world. The surgery, which consists of removing the bladder, cleaning the lymph around the great vessels, re-bladdering from the intestines, connecting the urinary ducts to this new bladder and connecting it to the normal urinary tract, is completed completely robotically.
Privileges provided by the robot to the patient in bladder cancer surgeries;
With da Vinci Robotic Surgery, the patient is saved from a very large surgical incision. Surgery can be done through only 6 holes, 8-15 millimeters each.
The risks of incision site herniation, opening of incision stitches and reoperation, which can be seen in open surgeries, are also eliminated.
Since it is robotic, the possibility of bleeding during surgery is also reduced.
Since the operation is performed without opening the patient, the risks such as drying of the intestines, infection and loss of heat are significantly reduced.
After the surgery, patients can recover in a shorter time and return to their normal lives.
In bladder cancer surgery, the bladder and prostate are removed together. Because in one third of patients with bladder cancer, prostate cancer may also be diagnosed, which the patients are unaware of. While the prostate is being removed, the nerves that provide sexual function and the urinary retention mechanism are better protected by the magnification, close vision and good lighting provided by the robot.
Patients with bladder cancer with da Vinci Robotic Surgery; It starts to feed on the 2nd and 3rd day of the surgery. She is discharged after bowel movements are adequate and everything goes well, but before a week. At the end of 3 weeks as a catheter, when it is determined that the bladder sutures consisting of newly made intestines are completely fused, the catheter is removed.
In women, along with bladder cancer, the uterus and ovaries are also removed. Since the uterus is removed from the birth canal, the repair of the birth canal is also done with a robot during the surgery.
Robotic solution to UPJ narrowness
Conventional laparoscopic surgery has made an important breakthrough in the surgical treatment of kidney pain or coincidentally detected stenosis of the renal outflow (UPJ stenosis), especially at a young age. While performing a reconstructive surgery with a large surgical incision with open surgery, this stenosis is treated with 97% success by laparoscopically entering the body only through small holes. However, against the disadvantages of millimetric tremor, two-dimensional image and limited mobility of the instruments with conventional laparoscopy in the body, da Vinci Robotic technology provides a much more comfortable and successful treatment under the three-dimensional image, with non-vibrating robot arms and excellent mobility.
Role of robotic surgery in urinary incontinence
The da Vinci Robotic surgery method can be applied in women, especially in cases of urinary incontinence due to sagging of the bladder, and in cases of bladder sagging that can reach the outside of the chamber even if there is no urinary incontinence. With robot technology, it is possible to treat the bladder in a way that it will never sag again and with close to 100% success. Robotic surgery comes to the fore, especially in sacrocolpopexy surgeries performed in cases of prolapse, as it provides the advantage of fast stitching in the body with the mobility of robotic arms. Due to the weakening of ligaments and other supporting tissues that cause sagging, synthetic fabrics can be used for repair purposes, and the sagging tissues can be fully repaired. da Vinci Robotic technology also provides a great advantage in this repair.
Da Vinci Robotic Surgery in Gynecology-Gynecological Surgery
In addition to da Vinci Robotic Surgery, urology and general surgery, it is most often used in the surgical treatment of gynecological diseases. According to 2013 data, the number of surgeries performed with robots in gynecology is higher than that of urology surgeries. Robot technology has brought a new dimension to long-lasting laparoscopic gynecology surgeries, thanks to the surgeon’s ability to sit at the console and perform the surgery. The operations that can be performed with the Da Vinci Robotic Surgery system can be listed as follows:
Myoma surgeries
removal of the uterus
urinary incontinence
Tube blockages
Ovarian cysts
Endometriosis
Uterine, cervical and ovarian cancer
Superior technology success in cancer surgery
Gynecological, urogynecological and oncological surgeries are among the most difficult operations of surgery. Robot surgery is used as the most advanced technology in all gynecological cancers except advanced ovarian cancers. It can be applied in all stages of “endometrial” cancer, known as uterine cancer, and in those with cervix cancer (cervical cancer) within surgical limits. Robotic surgery is also used in myomectomy operation for infertility and uterine prolapse. When the uterine fibroid is removed and closed with the laparoscopic method, the risk of rupture of the healed area in the next pregnancy may increase due to the lack of sutures. However, thanks to suture superiority, the rate of occurrence of this risk in robotic surgery is at a minimum level. In the later stages of endometriosis, since the surrounding tissues are very adherent, it becomes difficult to clean them with laparoscopic surgery. Robotic surgery is preferred because it is easier to move in such surgeries.
with technological superiority
Robotic surgery offers many advantages for both the patient and the surgeon, thanks to its technological developments and ease of use. The hospital stay and recovery time of the patient is much shorter than in open surgeries. Moreover, since the entrance is made through several small incisions, there is no surgical scar. Robotic surgery makes it much easier to reach everywhere in the pelvic system. The mobility of the devices used is also quite high. The surgical procedure is performed in an advanced size, comfortably and quickly. Since the hand tremors are not transmitted to the robotic arms, the surgery is performed more safely. There is less risk of bleeding. The patient’s recovery time is shortened. The risk of infection is lower. The advantage of three-dimensional imaging makes the surgeon’s job easier. Since the surgeon works by sitting at a console during the surgery, he spends less effort and his concentration is not impaired.
Da Vinci robotic surgery in General Surgery surgeries
“Minimally invasive”, that is, small incision surgeries, is now preferred primarily in cancer treatments as in many other areas. These technologies used today are considered the most important development in modern surgery and offer many privileges to the patient and doctor compared to classical open surgeries. Thanks to minimally invasive methods, the most difficult surgeries are performed in a way that provides comfort to the patient, depending on surgical and technological developments. Laparoscopic surgery, compared to open surgery; It minimizes the length of stay in the hospital and offers the patient a quick recovery.
Robotic surgery, which has been accepted as the most advanced technology among minimally invasive surgeries in the last 10 years, is increasingly used in general surgery, especially in cancer surgeries.
The da Vinci Robotic System is the most advanced surgical technology of our time, managed by the surgeon, providing multi-angle movement capability with robotic arms and without the slightest vibration, which can reach the deepest points with a 3-dimensional and clear image during surgery. The da Vinci Robotic System, by entering through small holes in the anterior abdominal wall, can view the deepest organs in the body under 10 times magnification and in three dimensions with high resolution. It enables the operation to be performed under the control of the surgeon, with robotic arms that move in 7 dimensions in the body and fine-small surgical instruments at their ends.
“da Vinci Robotic Surgery” provides comfort to the patient
It does not require a large surgical incision as in open surgery. The operation is done through small holes.
Surgery is performed under a 10 times larger and clearer image.
The quality of the image is high resolution and three-dimensional. Thanks to the 3D image, depth advantage is provided.
With the small robotic arms that do not vibrate and have the ability to move at an angle of 720 degrees, millimetric and all-round seams are easily placed.
The presence of vessels and nerves is clearly revealed.
It is a more successful method in tumor operations than open surgery.
Return to normal is faster in bowel activities after surgery.
The patient’s nutrition returns to normal faster than in open surgery.
The risk of infection from the surgical site is low.
Robotic technology in cancer surgery
Upper Gastrointestinal System
The “da Vinci Robotic System”, which has been developing rapidly all over the world since 2001, is rapidly becoming widespread today. Thanks to the superior tissue separation suturing techniques of the da Vinci Robotic System in upper digestive system surgical interventions, the interventions can be performed more comfortably and safely.
Stomach cancer D2 resection
Also non-cancerous
GERD (Reflux Surgery)
Hiatal Hernia (Stomach Hernia)
Achalasia (Lower End Strictures of Esophagus)
Small Intestine Surgery
Use of Robotic System; It is important because of the procedures applied to the patient and facilitating the surgeon’s interventions. By providing a closer and more detailed monitoring of vessels and nerves, it helps the surgeon to make finer tissue separations and to suture more comfortably. It provides the opportunity to act in accordance with the principles of cancer surgery. It facilitates the approach to the tissue by providing a 3D (three-dimensional) view more specifically than laparoscopic cameras. In this way, it provides more visuality and mobility in areas where the surgeon has difficulty seeing and reaching in open surgeries.
Strictures of the Small Intestine (due to Crohn’s disease)
Small Intestine Tumors
Colorectal Surgery
The Robotic System starts out as laparoscopy surgery and comes into use at the stage where superior dexterity is required. With this method, there is no need for an incision large enough to be opened in order to insert the hand into the abdomen, and there is no need for a manual surgical support method.
Privileges provided to the patient;
Better clinical data in cancer control in many cases,
– Faster improvement in bowel functions,
– Faster transition to normal nutrition,
– Significantly less pain
-Less blood loss
– Lower risk of wound infection,
– Shorter hospital stay
– Provides shorter recovery time.
Robotic System In colorectal surgery; It is also used in colon cancers, rectum cancers and prolapse surgeries.
HPB (Liver-Pancreas-Biliary tract) surgery
Especially in biliary tract injuries, instead of the open surgery method for repair, the da Vinci Robotic System can be repaired with more precision and without the need for large incisions.
Neuroendocrine Surgery
Pancreatic body, tail cysts and tumors
Spleen Conserving Surgeries
Gallbladder and Biliary Tract Operations
Spleen Operations
Laparoscopic and Robotic surgery in pancreatic cancer surgery
Pancreatic cancer is the most dangerous of all intra-abdominal cancers. Its frequency is gradually increasing, and in recent years, extensive studies have been carried out on it. What makes pancreatic cancer more important than other types of cancer is the location of the organ. It is difficult to surgically intervene in the pancreas, which performs very important tasks at the point where it is almost hidden in the body. For this reason, the expression “Untouchable” is often used for the pancreas.
Pancreatic Cancer Treatment Process
If the patient has been diagnosed with pancreatic cancer in MRI or tomography examinations, first of all, a biopsy should be performed to determine whether the diagnosis is definitive. If a mass is detected in the imaging and the patient has complaints such as jaundice and weight loss, the diagnosis is most likely correct. In doubtful cases, endoscopic biopsy may be necessary. The most important stage of treatment is surgery. Whether the patient’s tumor can be surgically removed or not is determined by the staging result. If there is no metastasis in the liver or other organs and the involvement of the great vessels is not advanced, the patient is primarily operated. Additional treatments are planned according to the patient’s condition after the surgery. In patients who do not have a chance for surgery, chemotherapy is applied first. When the tumor regresses with drug treatments, it is reevaluated whether the patient can be a candidate for surgery. If pancreatic cancer spreads to many foci and distant organs in the body, first of all, chemotherapy and then a treatment plan with alternative options come to the fore. The most important point that should not be forgotten in pancreatic cancer is that the behavior of the tumor differs from person to person, as in all types of cancer. Therefore, every patient has a chance for treatment and these options should be explored.
Current Surgery in Pancreatic Cancer Surgery
The most important development in pancreatic cancer surgery in recent years has been the use of minimally invasive methods and the use of laparoscopic and robotic surgeries. Laparoscopic surgery is a procedure performed in patients with pancreatic cancer by entering through a few holes with special instruments without causing a large surgical incision in the body. Laparoscopic surgery; The localization of the tumor in the pancreas should be considered as the first choice if it is in the body and tail of the pancreas. In pancreatic head tumors, laparoscopic surgery can be performed if the tumor is detected at an early stage, if there is no involvement in the main vessel and the patient’s age is appropriate.
Robotic surgery in pancreatic cancers provides the following important privileges to the patient and doctor;
Robotic surgery offers the privileges of open surgery and laparoscopic procedures together.
With robotic surgery, cancer can be better controlled.
Since it reduces the risk of infection in surgery and does not cause major surgical incisions in the body, it increases the patient’s chances of survival.
During the surgery, vessels, lymph nodes and other formations are better visualized, which increases the chance of success of the surgery.
The spleen can be preserved during surgery.
After the surgery, the intestines start to work earlier, the patient feels less pain compared to open surgeries, is discharged from the hospital in a shorter time, recovery and return to normal life are faster. The absence of any incisions or large scars on the body provides better cosmetic results to the patient.
Treatment Alternatives in Metastatic Pancreatic Cancers
Pancreatic cancer most commonly metastasizes to the liver. Such patients are usually those with late symptoms and tumors located in the trunk and tail of the pancreas. Surgery should not be considered as a treatment option that will provide rapid response to the patient. Only patient groups whose biopsy results or radiological images are determined as neuroendocrine tumors can be treated with surgery and rapid response can be obtained. The chance of cure for patients with metastatic pancreatic cancer is chemotherapy. However, systemic chemotherapy treatment should be done after evaluating the patient’s condition and predicting the response to be taken, or alternative chemotherapy options; HIPEC or PIPAC chemotherapy options should also be considered.
Robotic Bariatric Surgery-Obesity Surgery
The use of da Vinci Robotic Surgery technology in laparoscopic bariatric surgeries all over the world offers special privileges to doctors and patients. Due to the anatomical structures of obesity patients, the extra precision required in such surgeries can be achieved with the robot’s non-vibrating arms and the ability to move gracefully in the patient’s abdomen. Robot technology, which provides a three-dimensional and high-resolution image to the surgeon, also allows the protection of organs, tissues and nerves adjacent to the area where the operation is performed. Procedures that can be performed through several or a single hole without creating an incision in certain groups of patients eliminate aesthetic concerns in patients.
In obesity surgery, which has been on the agenda recently, tube stomach surgery, gastric bypass, and especially in metabolic surgery, that is, tube stomach, which is preferred in Type II diabetes, bipartition obesity surgeries are performed with success by making use of robot technology. First of all, the patients should be evaluated well and the necessity of bariatric surgery should be questioned, and the choice of which surgical technique to apply when necessary is of great importance.
The privileges of robot technology for patients and doctors can be listed as follows:
Since the surgery is performed with a closed technique and only a few holes, the risk of infection that can be seen due to the contact of the organs with air in open surgeries is eliminated.
Thanks to robot technology, the surgeon performs the surgery with a 3-dimensional and digital view, with an opportunity where the patient’s nerves, vessels, muscles and tissues are more protected from the risk of injury.
Thanks to the robot technology, a surgical incision is not formed on the patient’s body. After the procedure, which is completed through several holes instead of a large incision, the risk of infection is almost non-existent and the patient has a comfortable recovery period with less pain.
Since the patient’s discharge, return to daily life and recovery time are shortened, and pain control is provided, the patient is fed orally in a shorter time and the body regains its resistance.
After the patient achieves the quality of his daily life, he can return to his work and social life more quickly.
Robotic surgery in pediatric urology
The surgical processes of babies and children are much more difficult and passable than adults and require precision. Robotic surgery is the most advanced technological surgical method used in the operations of babies and children today. While the method has many advantages for the successful completion of the surgery, it also has very important benefits for the patient. Some of these are listed as follows.
For the patient;
Less pain compared to conventional surgeries
Shorter hospital stay
Less scarring, i.e. more successful cosmetic results
It is important that surgical complication rates such as bleeding and suturing are lower.
For the doctor;
Providing a three-dimensional image to the surgeon during the operation
Providing more maneuverability to the surgeon during surgery
Providing a comfortable environment for the surgeon performing the surgery
Prevention of hand tremor that can be seen in open or laparoscopic surgery.
It stands out in terms of high success rates.
Uses of robotic surgery in pediatric urology
Removal of the kidney (nephrectomy)
UPJ stenosis
Vesicoureteral reflux surgery
Double kidney anomalies
adrenal gland surgery
Robotic surgery can be used in the case of neurogenic bladder.
Robotic intervention in the heart
Robotic heart surgery has been practiced in Turkey since the 2000s. While the endoscopic camera system, which is normally used in minimally invasive methods, that is, in small incision applications, provides a two-dimensional image to the doctor, a three-dimensional image is provided by the robotic method. Robot arms can easily perform movements in the operating area that the doctor cannot perform with human hands. Robotic heart surgery is successfully applied in bypass, heart valve replacement, heart hole closure or removal of benign intracardiac tumors. While this method is not applied in patients who have had heart surgery before, it is very important that the patient is suitable for robotic surgery.
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