What medical changes have been made in technoloy in robotic surgery up until now?

Answer 1

Robotic Prostatectomy:

Surgical removal of the prostate and surrounding tissues (radical prostatectomy) has long been recognized as one of the most effective forms of therapy for prostate cancer. A conventional radical prostatectomy involves an open incision across the abdomen. Laparoscopic prostatectomy represents a major advance in the treatment of prostate cancer by offering men a less-invasive alternative to traditional surgery.

Physicians at the Vattikuti Urology Institute have entered the next generation of prostate surgery by performing robotic laparoscopic prostatectomy. Mani Menon, M.D., Director of the Vattikuti Urology Institute, developed the robotic technique called VIP (Vattikuti Institute Prostatectomy). Under Dr. Menon's direction, urologists at the Vattikuti Urology Institute were among the first in the world to perform prostatectomy using the daVinci™ computer-enhanced minimally invasive surgery system.

About The VIP Procedure

This is currently our preferred procedure for removal of the prostate. A team of surgeons led by Mani Menon, M.D., performs the operation. We have performed over 4000 such operations over a 7-year period, the world's largest experience. This unique procedure combines the oncological principles of "open" radical prostatectomy with the minimal invasiveness of laparoscopic surgery. Established by Menon, this procedure has been duplicated hundreds of thousands of times and is the commonest approach for the surgical removal of prostate cancer in the US. However, some of the technical innovations and surgical outcomes remain unique to Dr.Menon. With the state-of-the-art daVinci™ system, the surgeon uses a three-dimensional computer vision system to manipulate robotic arms. These robotic arms hold special surgical instruments that are inserted into the abdomen through tiny incisions. A laparoscope - a long, thin, lighted telescope - is inserted through one incision and connected to the computer monitor that allows the surgeon to see inside the body. The three-dimensional view helps the surgeon more easily find and preserve the delicate nerves and muscles that surround the prostate. The robotic arms can rotate a full 360 degrees. This allows the surgeon to manipulate surgical instruments with greater precision and flexibility. The surgeon performs the same nerve-sparing procedure done in a conventional laparoscopic, or open prostatectomy, but with greater precision. The prostate, nearby lymph nodes, seminal vesicles and adjacent tissue are removed through the small incisions, which are closed with a few stitches. With the robotic technology, surgeons can manipulate instruments with greater precision and flexibility. This often translates into a more rapid recuperation and return to normal function. Most patients go home within 24 hours and return to normal activity within two weeks after surgery. Patients walk the evening of surgery and begin a clear diet one day after surgery. Most patients have very little pain after the robotic procedure. To qualify for this type of surgery, patients must be free of other significant health problems and be within a fairly normal weight range. Visit: http://www.drmanimenon.com

More Robotic Procedure: Smaller incisions, less scarring and faster healing !

Dr. Menon and the surgeons at the Vattikuti Urology Institute are experienced innovators in the use of robotic surgery in improving patient care. We offer the following procedures. Please contact usif you have any questions!

Kidney

• Robotic Partial Nephrectomy:

Robotic surgery to remove a kidney tumor while preserving the remaining kidney (also called renal-sparing surgery).

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• Robotic Radical Nephrectomy: Robotic surgery to remove the entire kidney for large tumors or disease.

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• Robotic Pyeloplasty: Repair of the blockage in the area where the ureter attaches to the kidney.

• Robotic Nephroureterectomy: Removal of the kidney and ureter for transitional cell carcinoma involving the kidney or ureter.

• Robotic Pyelolithotomy: Removal of large kidney stones that fail treatment by other methods

• Robotic Renal Cyst Decortication: Removal of kidney cysts that sometimes cause pain or high blood pressure.

Bladder

• Robotic Radical Cystectomy: Robotic surgery to remove the bladder for large tumors or disease.

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Technically Advance Procedure for Patient Benifit

At the Vattikuti Urology Institute, our surgeons are among the only ones in the United States who routinely are using a retroperitoneal (behind the peritoneum) approach for robotic-assisted kidney surgery.

Henry Ford urologists believe this technically advanced approach offers significant advantages to the patient, including:

• Decreased risk of injury to bowel or other nearby organs

• Faster return of bowel function after surgery

• Reduced hospital stay (one day in healthy patients)

• Less postoperative pain and less need for pain medication

• Quicker return to normal activity and work

This approach is ideal for patients who have had prior abdominal surgery. Many patients who are having their kidneys removed or partially removed often times have had other abdominal surgeries, leaving them with significant abdominal scarring. By using the retroperitoneal approach, patients still can have a robotic-assisted surgery. It also is an ideal approach for a partial nephrectomy for patients with a tumor on the back side of the kidney that may be challenging to remove with an abdominal approach.

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