Laparoscopic and Robotic Surgery

ROBOTIC SURGERY

Da Vinci Robotic Surgery, or better known as Robotic Surgery, is the most advanced technology that surgery has reached in today’s medical world, which stands out with the special privileges it provides to the doctor and the patient.

In this system, the imaging system works on the principle of laparoscopic surgery. In other words, the image of the patient’s body is transferred to the surgeon with the help of a camera. Unlike laparoscopic surgery in robotic surgery, this image is 3D and since the camera control is done by the robot, it is a clear image without shaking. Clear images can be obtained at larger magnification by getting very close to the organ to be operated.

The surgeon controls the robot arms with the help of a console. These robot arms are placed on the patient. The fiber optic cables on the console go to the robot’s arms and transfer the small hand movements of the surgeon to the robotic arms, and the devices such as surgical scissors, tissue or needle holder connected to them are enabled to make the desired movements. Since surgical instruments attached to robotic arms can rotate 540 degrees, they can move much more than hand movements. In addition, the natural shaking of the human hand is normally not reflected on the tips of surgical instruments in robotic surgery. In this way, the margin of error is also minimized.

Robotic Surgery was first used in 1994, and its most common area of use was urology surgery. Since 2001, Da Vinci, which has been used in prostate cancer surgery all over the world, is also used in kidney, bladder and testicular cancers.

The privileges provided by robotic surgery to the patient in prostate surgery:

  • Patients who undergo robotic surgery stay in the hospital less than other patients and are discharged earlier. This is because in robotic surgery, the incisions are smaller, the blood loss is less and the postoperative patients feel less pain..
  • Patients who have undergone radical prostatectomy with the robotic surgery method have their catheter removed earlier. In other words, the probing time is shorter. The reason for this is that in robotic prostatectomy surgery, the urinary bladder and the external urethra, called the urethra, can be stitched together in a better and waterproof way. Catheterization period is usually 7 days.
  • Patients who undergo robotic surgery feel less pain in the postoperative period and the need for painkillers is less. Incisions are smaller than open surgery and therefore they feel less pain.
  • Cancer control is better provided in robotic surgery. Cancer tissue can be seen and removed more clearly during surgery with the camera system that provides 3D and high resolution images, and robot arms with 7 stages and the ability to move 540 degrees in all directions.
  • With robotic surgery, urine retention is healthier and faster after prostate surgery. Better appearance, less bleeding, better suturing of the bladder and urinary canal provide faster urinary control in the postoperative period.
  • Return to sexual life will be quicker after prostate cancer surgery performed with robotic surgery. The preservation of the nerve and vascular bundle around the prostate that provides erection in a medically appropriate patient is provided more clearly with robotic surgery. Therefore, returning to sexual life occurs earlier in these patients in the postoperative period.

The privileges provided by robotic surgery to the patient in kidney tumors:

Cancer control is provided in the best possible way in kidney tumor surgeries performed with robotic surgery. In appropriate cases, only the tumor tissue is removed and the healthy kidney is left in the patient. With robot technology, under a three-dimensional and high-resolution magnified image, the depth of the tumor in the tissue can be calculated easily and the tumor is removed from the kidney. The tissue space formed after the tumor tissue is removed, the opened vessels and injured urinary canals are repaired gracefully and rapidly using robotic arms. It can be applied to remove the kidney in large-scale kidney cancer.

After the surgery, just like in prostate cancer, the aesthetic appearance of kidney tumors does not deteriorate thanks to robotic surgery, a fast and comfortable recovery process is provided, less pain is felt and daily activities are returned faster.

In urology, many operations such as bladder cancer, ureteral stricture, urinary incontinence surgery, kidney outlet obstructions, as well as prostate cancer and kidney tumors, can be performed by robotic surgery today.

 

LAPAROSCOPIC SURGERY

Laparoscopy is a surgical technique used in the surgical treatment of intraabdominal organs, using tubules placed through 3 or 4 small (0.5-1 cm) holes instead of large surgical incisions and long thin surgical equipment passed through these tubes.

At the beginning of the procedure, the abdomen is inflated with carbon dioxide gas to provide the working and viewing area for the surgeon. The images from the abdominal cavity are projected on the screen with a high-resolution camera system, and surgery is performed with a magnified image of the organ approximately 10 to 15 times. This system allows the surgeon to perform the same procedures as traditional open surgery with much smaller incisions.

Areas where Laparoscopic Surgery is Used in Urology:

  • Kidney cancer: laparoscopic radical and partial nephrectomy
  • Prostate cancer: laparoscopic radical prostatectomy
  • Bladder cancer: laparoscopic radical cystectomy
  • Adrenal gland tumors: laparoscopic adrenalectomy
  • Testicular cancer: laparoscopic RPLND
  • Undescended testis: laparoscopic orchiopexy
  • Ureteropelvic (UP) strictures: laparoscopic pyeloplasty
  • Kidney removal: laparoscopic nephrectomy

The Advantages of Laparoscopic Surgery Over Open Surgery:

  • Cosmetically, very small scars instead of a large incision
  • Less pain and less bleeding after surgery
  • Shorter hospital stay
  • Faster return to daily life
  • Performing the operation with large and HD image quality
  • Much more affordable compared to robotic surgery

NOTE: The content of the page is for informational purposes only, please consult your doctor for diagnosis and treatment.