Robotics

Question 1

How the Da Vinci Robot operates

Answer 1

• Surgeon sits a console and is able to view the surgical field in 3-D with magnification of
• At the console, the surgeon manipulates the robotic arms by using a “joy stick” or mechanical transducer held like a forcep
• The robotic arms then manipulate the instruments that they are “holding.”
• The surgeon is also able to “drive” the camera using the foot pedals on the console

Question 2

Benefits of the da vinci robot

Answer 2

▪Small incisions

▪Surgeon able to see 10x magnification of vessels for safe dissection

▪Endowrist of robotic arm mimics the wrist movement but allow for 360 degree articulation

▪No tremor is conveyed to robotic instrument

Question 3

Camera and instruments for robotic arms

Answer 3

• •Camera choices are 0 degree or 30 degree
• •Instruments commonly used:
  
  • •Maryland grasper with bipolar cautery
  • •Scissors with monopolar cautery
  • •Prograsp
  • •Fenestrated grasper
  • •Caudier grasper
  • •Cautery hook
  • •Large needle driver
  • •Large suturecut needle driver

Question 4

Robotic surgeries

Answer 4

• •Urologic and GYN is predominant field
  
  • •Nephrectomy
  • •Adrenalectomy
  • •Cystectomy
  • •Prostatectomy – 90% of prostate cancer is done robotically
  • •Hysterectomy – 60% of hysterectomies
  • •Sacroculpopexy
• •General Surgery is fastest growing field
  
  • •Colectomies
  • •Nissen Fundoplications
  • •Paraesophageal Hernia repair
  • •Heller Myotomy for achalasia
  • •Bariatric Surgery
  • •Cholecystectomy
  • •Ventral/Inguinal hernia repair