da Vinci Robotics Surgery Center

THE UTILISATION OF da VINCI ROBOTICS SYSTEM IN UROLOGICAL OPERATIONS

WHAT IS da VINCI ROBOTICS SYSTEM?

da Vinci Robotics System comprises of 3 main parts based on computers and as a surgery equipment it is a system that provides the surgical operations the minimum harm.

da Vinci Robotics System is the most advanced technology of our age, which is operated by the surgeon and can reach the deepest spots with a 3D and clear image and can provide the multi-angular mobility ability without any tiny trembles.

By the da Vinci Robotics Surgery System, the surgeon, sitting in the part called “Console”, is able to see the image inside the patient’s body in 3D, high resolution and a expanded way 10-20 more zoomed than the normal ones even in deepest surfaces. There are 4 arms inserted on the patient under operation. The first is the telescope which acts like the eyes of the robotics and the high-resolution camera that transmits the image that this telescope captured. Thanks to this camera, the surgeon captures the image and controls the other robotic arms which would carry out the surgery.

Since the surgical tools at the end of the robotic are very thin, they have the ability of mobility even in the deepest parts of the body. The fine-lead and gentle surgical robotic arms help remove the organ to be moved away without harming the tissues.

“da VINCI ROBOTICS SURGEON” IN THE TREATMENT OF PROSTATE CANCER

da Vinci Robotics System, following a great spread all over the world from 2001 onwards, is today utilized mostly for the surgery of prostate cancer. In a prostate cancer operation carried out by the da Vinci Robotics System, the prostate is completely removed and the cervix vesicae and the urethra is stitched which remains in the space aftermath of the removal of the prostate in a crossing way.

Advantages

  • After da Vinci Robotic Surgery stays in the hospital lasts 1 or 2 days. 95% of the patients are able to leave the hospital and go home.
  • When compared to the traditional open surgery, there is very little blood loss during the operation
  • There is a very little need for use of painkillers when staying in hospital and after leaving the hospital.
  • Usually one week after the surgery, the catheter that was placed into the urethra is removed. In open surgery, this period varies generally between 14 and 21 days.
  • 90% percent of the patients are able to return to their routine works after the surgery with the da Vinci Robotics Surgery or three weeks later.

By the da Vinci Robotics Surgery technique in prostate operations, the erection nerves near the prostate and the urine continence muscles are protected better. Thanks to this qualified protection, there are less urine incontinence problems and there are lower levels of penis erectile dysfunction to be encountered.

The most important point that should be acknowledged by patient and patient relatives: da Vinci Robotic Surgery is not an application completely based on tool and the robot. The Surgeon’s laparoscopic surgery experience in prostate operations is essential for success. In this way, the protection of the nerves reaching the penis and of veins is ensured on a high level. This case provides an important advantage in the continuity of sexual activity of the patient after the surgery.

“da VINCI ROBOTICS SURGEON” IN THE TREATMENT OF KIDNEY CANCER

In recent years, thanks to the technological advantages the da Vinci Robotics introduced in the field of urology, da Vinci Radical Nephrectomy is also on the agenda for the treatment of kidney cancer. In the treatment of kidney cancer da Vinci technique can be utilized in operations involving the complete removal of the kidney or of the infected part of the kidney.

The da Vinci Robotic System utilized in kidney operations eliminates the tremble effect ensured by 3D, high-resolution 10 or 20 more zoomed images, and thanks to its ability of mobility inside the body like a real hand in 7 directions it carries out the surgery.

da Vinci Technique can be used for the patients who lost the kidney functions due to kidney calculus, obliteration, natural born dystrophy and to high tension levels in association with tightening of kidney veins, for the removal of the kidney in kidney cancer where the diameter of the tumor reached 12 or 15 cm. or on many tumors having nerves.

Advantages

  • Since it is operated outside the peritoneum, there is no risk for harming the intestines.
  • There is a very little need for use of painkillers when staying in hospital and after leaving the hospital.
  • The patient returns to daily activities in a short period.
  • Due to tiny surgical cuts, the aesthetical appearance is not deformed.
  • The operation is carried out with the elimination of the tremble effect that is eliminated by robotic arms.
  • The operation is carried out by robotic arms which can move as if it was a real hand in 7 directions and in 720 degrees of mobility.

da Vinci Technique is also a technique which can be utilized for kidney tumors diameters of which is shorter than 4 cm depending on its spot on the kidney. Here the purpose is to control the cancer as well as to remove the tumor tissue infected with cancer and leave the healthy kidney in place. The depth calculations are easily conducted and the tumor is removed, and the surface that the tumor was removed is stitched fast and by the depth control. The emerging tissue spaces and the injured veins and urethra are fixed.

“da VINCI ROBOTICS SURGEON” IN THE TREATMENT OF UPJ OBSTRUCTION

What is Urethra-pelvic junction (UPJ)?

The most important duty of kidney is to filter the blood and remove the waste and unnecessary salts by the urine it creates. The urine that the kidney created passing firstly small and then big collecting drains reaches pelvis renalis and from here it is transmitted to urethra and bladder for storing. The point where pelvis and urethra combines is called UPJ (Urethra-pelvic Junction)

There is a problem of urine drainage problem due to obstruction in the passing point between the pelvis and the urethra while transmitting the urine in especially childhood period. This is called UPJ obstruction. Due to the this impediment causing the transmittance of urine, the urine is collected at the pelvis and an expansion occurs in pelvis. It leads to decrease in kidney functions or to complete loss of the kidney functions as the time passes by.

How the treatment of UPJ Obstruction is carried out by Da Vinci Robotics System?

In patients diagnosed with UPJ obstruction and in case of no hopes for recovery, there is a need for surgical treatment. Whereas Some babies or children who are diagnosed by severe UPJ Obstruction can recover very fast at the first phase, in others there is no recovery but further worsening condition. Therefore there is close monitoring needed for the children in this age level.

The open pyeloplasty operation, like in the kidney operations, leads to a greater surgical cut under either the right or left side of the rib cage compared to the other close treatment methods.

In, however, the operation of UPJ obstruction with the da Vinci Robotics System, the operation is initiated with a 3 or 4 holes and then it is continued under a 3D, high-resolution and 10 or 20 more zoomed images, and the operation is carried out thanks to the elimination of the tremble effect and the ability of mobility in 7 directions acting as if it was a real hand.

Advantages

  • There is not a need for big surgical cuts, rather operation is carried out on tiny holes.
  • The operation is carried out under ten times bigger imaging and clear images
  • The quality of the image is high-resolution and in three-dimensional.
  • Due to the 3D image, there is an advantage of depth
  • The robotic arms which do not tremble and move in an angle of 720 degrees can milimetrically place switches from every direction.
  • The presence of cross vein is clearly demonstrated and is treated.
  • After the operation, compared to the open surgery, there is less pain.
  • After the operation, the period spent in the hospital takes less.
  • The recovery occurs fast and in a short period.
  • There is a better cosmetic appeal compared to the open surgery.

Other Medical Departments

A-B-C

D-E-F

G-H-I-K

L-M-N-O

P-R-S-T