Robotic Colorectal surgery is a significant advance in today’s surgical care and is being used by the surgeons of
With the relatively recent transition from open surgical techniques to minimally invasive operative procedures, surgeons have improved the lives and postoperative courses of many patients. Robotic technology, the newest advance in minimally invasive surgery, is associated with increased operative field visibility, ease of intracorporeal suturing, decreased postoperative pain, decreased blood loss, shorter hospital stays and faster recovery when compared with open procedures. Robot-assisted operations are another tool in the ever-expanding set of surgical skills being brought to bear on the treatment of colon and rectal conditions.
Each of the surgeons of
Due to the limited space in the human pelvis, a physician is challenged by difficult operative field visibility and maneuverability. Both laparoscopic and robotic systems are known to assist in overcoming this space limitation. This explains the growth of minimally invasive technologies. Robotic technology provides even better visibility and magnification in the narrow confines of the pelvis, and is seen as an advance over the already excellent laparoscopic approach. In colorectal surgery, robotic-assisted operations could become the primary surgical method for resection of pelvic tumors, distal and left sided colonic tumors and complicated resections or re-operative resections. Additionally, the technology lends itself to the treatment of certain benign conditions such as rectal prolapse, enterocele repair and colon resections for various benign diseases.
In regards to robotic imaging technology, features include two cameras which provide 3-Dimensional, high-definition vision, instant image referencing, and fluorescent vascular imaging, whereby the vascular perfusion of the anastomotic area can be evaluated. The system has two high definition cameras used to provide stereoscopic vision and magnified views during surgery, allowing for close up, clear images. Surgeons can also reference CT images or ultrasound diagnostics taken prior to surgery, directly in the console next to the view of the operative field. Fluorescent vascular imaging uses intravenous indocyanine green during resection to obtain potentially a more thorough evaluation of the vascularity of the colorectal anastomosis.
The technology also increases productivity during the actual physical procedure by providing an additional arm (the “third arm”) and mechanical wrists, which are scaled to move with the surgeon during operations. For example, the arm can be applied to hold a retractor or other surgical instruments, providing 50 percent more operating capability to the surgeon. The mechanical wrists may carry a variety of specialized instruments that operate similar to a human wrist, but with an even greater range of motion. Lastly, the surgeon can calibrate the robot’s arm to move a fraction of an inch for every inch the surgeon’s hand moves. Even the most complex movements, including delicate resections, intracorporeal suturing and knot-tying become smooth and simple with this technology.
The surgeons of
All of the surgeons of
Known for innovations in surgical treatment, the surgeons of
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