da Vinci Robotics - Computer-Assisted Laparoscopic Surgery

da Vinci S HD Surgical System da Vinci System - Click to Enlarge


 

The da Vinci Surgical System leverages state-of-the-art robotic technology to maximize benefits during surgery for both the patient and the surgeon.  The surgeon’s hand movements are translated into precise movements of fully wristed micro-instruments within the operative field. The surgeon's magnified, three-dimensional view further enables the performance of exceptionally accurate dissection and reconstruction of delicate structures, all through a few small incisions.  This represents a major advance over standard laparoscopy, which is limited both by the two-dimensional perspective and the long, straight instruments with fixed tips. 

It is important to note that The da Vinci System does not make any decisions on its own and can not move without direct input from a console-certified surgeon.  A more accurate term for "robotic surgery " is "computer-assisted


da Vinci S Patient-Side Cart Patient-Side Cart

 laparoscopic surgery" clearly identifying the role the da Vinci System serves as an adjunct to laparoscopy, performing precise maneuvers under real-time guidance from the surgeon.

The da Vinci System has taken surgery to a new level for both surgeon and patient. The surgeon benefits from a comfortable, seated

 position with unprecedented visualization, and complete freedom of instrument movements. The patient benefits from the minimally invasive nature of the surgery, decreased blood loss, shorter hospitalization, faster return to normal activity, and minimal scarring. These advantages of the da Vinci System enable experienced surgeons to perform more precise dissection and suturing, particularly in spaces that are otherwise difficult to reach without a large incision.  In particular, Dr. Brian Golden has demonstrated excellent cancer control results and low blood loss in both da Vinci prostatectomy and da Vinci partial nephrectomy.  In prostate surgery, the da Vinci advantages allow improved preservation of the delicate structures responsible for erectile function and urinary continence.   

 

Three Videos: An Introduction to the da Vinci Surgical System:


 In this ABC News interview, Dr. Golden discusses the advantages of robotic surgery: Dr. Brian Golden 2007 Interview - da Vinci SHD installed at St. Rose Siena

The key components of the da Vinci System are described in this video: da Vinci S Surgical System

The precision of da Vinci Surgery demonstrated. How big is the origami bird?  See it compared to a common object at the very end of the video:  da Vinci Origami

These components of the da Vinci System facilitate the  precision seen in the origami video above:

Binocular Lenses 

In contrast to the flat 2-D image in standard laparoscopic surgery, the da Vinci System creates a natural 3-dimensional perspective with accurate depth perception by projecting a different image to each of the surgeon's eyes.

daVinci Lens

Miniaturized Instruments

A wide variety of instruments makes possible every surgical maneuver, including some not possible during open surgery, and many not possible during standard laparosopic surgery.

Endowrist Instrument

Endowrist Instruments

All of the surgeon's wrist movements are precisely replicated by da Vinci instrument tips, allowing complete freedom of movement.  This is a major leap beyond the limitations of standard laparsocopic instruments.  This advance is immediately clear  to any surgeon when delicate dissection or suturing is required.

Endowristed Instruments

TilePro

Real-time imaging, ultrasound in the image to the right, can be viewed by the surgeon alongside the surgical field to help in evaluation of complex anatomy.  During the partial nephrectomy seen here, ultrasound was used to assess tumor depth, assisting with tumor excision and enabling maximal preservation of normal kidney tissue.

TilePro-renal-mass

 

 

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