Robotic Surgery - TEST

The da Vinci® Surgical System
Highly trained surgeons at NWH use this minimally invasive surgical device that combines computer, camera and specialized robotic instruments to perform complex surgeries through very small incisions.

Experts in adult and pediatric urology and gynocology at NWH are performing the most advanced robotic surgery using the da Vinci® Surgical System. NWH is one of only a few hospitals outside of New York City that is using the da Vinci® System for kidney, bladder, and prostate surgery.

This minimally invasive, three-dimensional surgical device combines computer and robotic technologies to allow surgeons to perform complex surgeries through a very small incision, resulting in greater accuracy, shorter hospital stays and faster recoveries.

The da Vinci® Robot is used to treat cancers and other conditions of the prostate, kidneys, and bladder and to reconstruct the urinary tract.

The da Vinci® Surgical System enhances the surgeon’s view of the inside of the body because it has a stereoscopic camera which provides a magnified view, and the specialized robotic instruments provide superior dexterity.

The robot employs a 3-D video system and ergonomically advanced miniaturized “hands” that accurately respond to the surgeon’s commands. Superb anatomic views can be obtained using magnification and more precise surgery can be performed. Blood loss during robotic surgery is often minimal, hospital stay may be as short as one day, and the urinary catheter can be removed by a week.

A computerized robotic system operated by the urologic surgeon at NWH enhances the accuracy of laparoscopy. The robot employs a 3-D video system and ergonomically advanced miniaturized “hands” that accurately respond to the surgeon’s commands. Superb anatomic views can be obtained using magnification and more precise surgery can be performed. Blood loss during robotic surgery is often minimal, hospital stay may be as short as one day, and the urinary catheter can be removed by a week.

In the case of prostate surgery, sparing of the neurovascular bundles for erections may be achieved to a greater degree due to the magnification and ability to delicately manipulate the tissue using the robotic system. Like laparoscopy, the incisions are small “keyholes” reducing post-operative discomfort and allowing more rapid return to normal activities.

Other benefits of minimally invasive surgery with the da Vinci® Surgical System include:

• Removal of kidney tumors without sacrificing the entire kidney
• Lower incidence of impotence and incontinence from a prostatectomy
• Rapid recovery
• Minimal blood loss
• Quick hospital discharge
• Early return to work.

Robotic Urology Surgeries performed at NWH

• Radical prostatectomy
• Partial cystectomy
• Radical cystectomy
• Simple and radical nephrectomy
• Partial nephrectomy
• Pyeloplasty
• Ureteroureterostomy
• Ureterectomy and ureteral re-implantation
• Pelvic lymphadenectomy

GYN-Oncology

• Pelvic lymphadenectomy
• Radical hysterectomy

Gynecology

• Hysterectomy
• Supra-cervical hysterectomy

Pediatric Urology

• Bladder augmentation
• Nephrectomy
• Pyeloplasty
• Partial nephrectomy
• Urinary diversion
• Ureteral reconstruction

Dr. Warren Bromberg and Dr. Jerald Wishner are Co-Directors of the Minimally Invasive Surgery Program.