Overview

The da Vinci Surgical System

Only da Vinci overcomes the limitations of both traditional open surgery and conventional minimally invasive surgery. The da Vinci System is a sophisticated robotic platform designed to expand the surgeon’s capabilities – and for the first time – offer a minimally invasive option for major surgery.


Using the Da Vinci robotic surgeon system, surgeons should soon be able to operate on the heart without stopping the beating. Conventional heart surgery is done with the patient placed on cardiovascular bypass, with a machine pump circulating the blood, while the heart sits idle for the convenience of the surgeon and the safety of the patient. Now George Mylonas of Imperial College London has developed motion compensation software that should allow the robotic surgeon to compensate for the motion of the beating heart, and operate on the organ without stopping it first

The da Vinci™ Robotic Surgical System takes minimally invasive heart surgery one step further. The system gives the surgeon improved magnification, precise robotic movements and a three-dimension view of the surgical site, delivering unmatched precision for performing complex and delicate heart procedures. Robotic mitral valve surgery is becoming popular at many centers around the world.

Robotic-assisted Surgery

The da Vinci™ Robotic Surgical System takes minimally invasive surgery one step further. The system gives the surgeon improved magnification, precise robotic movements and a three-dimension view of the surgical site, offering unmatched precision for performing a variety of procedures.

Surgery Enabled by Da Vinci :

You've just been diagnosed with a condition requiring surgery. Until very recently your options included traditional surgery with a large open incision or laparoscopy, which uses small incisions but is typically limited to very simple procedures.

Thanks to a breakthrough surgical technology, there is a new category of minimally invasive surgery for which you may be a candidate. It is an effective, minimally invasive alternative to both open surgery and laparoscopy. Through the use of the da Vinci® Surgical System, surgeons are now able to offer a minimally invasive option for complex surgical procedures. Imagine major surgery performed through the smallest of incisions. Imagine having the benefits of a definitive treatment but with the potential for significantly less pain, a shorter hospital stay, faster return to normal daily activities – as well as the potential for better clinical outcomes.

With the da Vinci Surgical System, surgeons and hospitals are re-writing accepted standards for surgical care. da Vinci is changing the experience of surgery.

The da Vinci Surgical System is composed of four components:

A surgeon console
A computerized control system
Two instrument “arms”
A camera

Procedures :

When facing surgery, regardless of the condition, your primary concern is determining which surgeon and hospital will give you the best chance for the best possible outcome. Secondly, you want a surgical experience that will be the least disruptive to your everyday life.

The da Vinci Surgical System combines computer and robotic technologies to create a new category of surgical treatment, robotic-assisted laparoscopic, thoracoscopic or endoscopic surgery. By providing surgeons with enhanced capabilities, the da Vinci Surgical System makes it possible to treat a broader range of conditions using a minimally invasive approach. This means that with da Vinci, you can have major surgery with only a few tiny incisions. In addition, your surgeon can operate with better visualization, precision, dexterity and control than possible using traditional surgical approaches.

Clinical studies suggest that the extended capabilities provided by the da Vinci System may help surgeons provide better clinical outcomes than conventional open and minimally invasive surgery allow – for example, better cancer control and a lower incidence of impotence and incontinence with da Vinci Prostatectomy.

To date, da Vinci has been used in everything from minimally invasive heart surgery to minimally invasive cancer surgery, to treat conditions as diverse as prostate cancer, endometrial cancer, morbid obesity and mitral valve regurgitation. In short, the da Vinci Surgical System combines robotics and surgical technology as never before, enabling your surgeon to provide the most effective and least invasive treatment option available for a wide range of complex conditions.


da Vinci Robotic heart surgery may provide patients with the following benefits over open surgery :

Less risk of infection
Less blood loss and need for blood transfusions
Shorter hospital stay
Significantly less pain and scarring
Faster recovery
Quicker return to normal activities
And a potentially better clinical outcome


What are the benefits of da Vinci Surgery compared with traditional methods of surgery ?

Some of the major benefits experienced by surgeons using the da Vinci Surgical System over traditional approaches have been greater surgical precision, increased range of motion, improved dexterity, enhanced visualization and improved access. Benefits experienced by patients may include a shorter hospital stay, less pain, less risk of infection, less blood loss, fewer transfusions, less scarring, faster recovery and a quicker return to normal daily activities. None of these benefits can be guaranteed, as surgery is necessarily both patient- and procedure-specific.


Where is the da Vinci Surgical System being used now ?

Currently, The da Vinci Surgical System is being used in hundreds of locations worldwide, in major centers in the United States, Austria, Belgium, Canada, Denmark, France, Germany, Italy, India, Japan, the Netherlands, Romania, Saudi Arabia, Singapore, Sweden, Switzerland, United Kingdom, Australia and Turkey.


Has the da Vinci Surgical System been cleared by the FDA ?

The U.S. Food and Drug Administration (FDA) has cleared the da Vinci Surgical System for a wide range of procedures. Please see the FDA Clearance page for specific clearances and representative uses.


Will the da Vinci Surgical System make the surgeon unnecessary ?

On the contrary, the da Vinci System enables surgeons to be more precise, advancing their technique and enhancing their capability in performing complex minimally invasive surgery. The System replicates the surgeon's movements in real time. It cannot be programmed, nor can it make decisions on its own to move in any way or perform any type of surgical maneuver without the surgeon's input.


Is a surgeon using the da Vinci Surgical System operating in "virtual reality" ?

Although seated at a console a few feet away from the patient, the surgeon views an actual image of the surgical field while operating in real-time, through tiny incisions, using miniaturized, wristed instruments. At no time does the surgeon see a virtual image or program/command the system to perform any maneuver on its own/outside of the surgeon's direct, real-time control.


While using the da Vinci Surgical System, can the surgeon feel anything inside the patient's chest or abdomen ?

The system relays some force feedback sensations from the operative field back to the surgeon throughout the procedure. This force feedback provides a substitute for tactile sensation and is augmented by the enhanced vision provided by the high-resolution 3D view.


What procedures have been performed using the da Vinci Surgical System? What additional procedures are possible ?

The da Vinci System is a robotic surgical platform designed to enable complex procedures of all types to be performed through 1-2 cm incisions or operating “ports.” To date, tens of thousands of procedures including general, urologic, gynecologic, thoracoscopic, and thoracoscopically-assisted cardiotomy procedures have been performed using the da Vinci Surgical System.


Why is it called the da Vinci ® Surgical System ?

The product is called "da Vinci" in part because Leonardo da Vinci invented the first robot. He also used unparalleled anatomical accuracy and three-dimensional details to bring his masterpieces to life. The da Vinci Surgical System similarly provides physicians with such enhanced detail and precision that the System can simulate an open surgical environment while allowing operation through tiny incisions.

Mitral Valve Prolapse Treatment Options -

The treatment options available to a person with mitral valve prolapse depend on the severity of the condition. Some patients may not require any intervention. Others may be prescribed medications.

However, if your symptoms become severe, your doctor may recommend mitral valve prolapse surgery. There are two basic types of valve prolapse surgery: valve repair and valve replacement. In valve replacement, your surgeon cuts out the damaged valve and replaces it with a new, artificial valve. Valve repair involves the surgeon reconstructing your valve using your own tissues. A new category of minimally invasive surgery, utilizing the robotic assistance of the da Vinci® Surgical System, is rewriting the book on mitral valve prolapse surgery. Learn more about da Vinci Mitral Valve Prolapse Surgery to help determine if it is the right option for you.

Mitral Valve Prolapse & Treatment -

The mitral valve controls blood flow through the left side of the heart. When it opens, the mitral valve allows blood to flow into the left ventricle -- the heart’s main pumping chamber. When the left ventricle contracts, the mitral valve closes in order to prevent blood from flowing back toward the lungs. Sometimes the mitral valve is abnormal from birth. It can also become damaged by infection, with age or from heart disease.


What is Mitral Valve Prolapse ?

If the mitral valve leaflets cannot tightly seal the left ventricle, this is called prolapse. With mitral valve prolapse, some blood flows back into the atrium – a condition called regurgitation. Regurgitation can make the heart work harder, leading to further valve damage and increasing the risk of heart failure.

Cardiothoracic Surgery -

When medication and catheter-based treatments cannot relieve symptoms, surgery remains the accepted treatment for a range of cardiothoracic conditions, including but not limited to mitral valve prolapse, atrial septal defect and coronary artery disease. Facing either traditional cardiac surgery or open surgery to treat disorders of the organs and tissues in the chest cavity can be a frightening experience. While it may be difficult to focus on next steps, in fact, you may have several choices to make, including which hospital and which surgeon to go to, and which procedure to choose. Learning as much as possible about your surgical options, including minimally invasive alternatives to traditional open surgery may ease some of your concerns.

While surgery is generally the most effective way to treat disorders of the heart, lungs and esophagus, traditional open surgery has a number of inherent drawbacks caused primarily by making a large incision, splitting of the breastbone and spreading the ribs to access the thoracic space. In addition to an 8 to 10” scar down the center of your chest, splitting of the breastbone leads to a lengthy recovery time of eight to twelve weeks as well as a prolonged delay before you will return to normal daily activities.

Fortunately, less invasive options are increasingly available for patients facing cardiothoracic surgery. Many cardiothoracic surgeons are recognizing the benefits of smaller incisions made between the ribs to perform coronary bypass or make repairs to the heart or esophagus under visualization using thoracoscopy – the insertion of a miniaturized video camera between the ribs. But this approach has limitations and is not well suited to more complex cardiac procedures.

Enter the da Vinci Surgical System, providing surgeons and patients with what may be the most effective, least invasive treatment alternative for even the most complex cardiothoracic procedures such as mitral valve repair. Among the potential benefits of da Vinci cardiothoracic surgery are a reduced risk of infection, less blood loss and need for blood transfusions, shorter hospital stay, less pain and scarring, faster recovery and a quicker return to normal activities. Additionally, surgery with the da Vinci Surgical System offers the potential for a better clinical outcome.

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