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Surgical Services Robotic Surgery

About the da Vinci® Surgical System
Tallahassee Memorial is the first hospital in the Florida Big Bend and Southwest Georgia regions to acquire the da Vinci™ Surgical System, a state-of-art robotic surgery system that offers the benefits of a more precise surgery with reduced pain for the patient and a faster recovery.

The daVinci™ Surgical System is being used by urologists from Southeast Urological Center for radical prostatectomy, a common treatment for prostate cancer that involves removal of the prostate gland. Recent studies suggest that da Vinci™ Prostatetectomy may improve cancer control and reduce the risk of urinary incontinence and impotence following surgery.

The da Vinci™ Surgical System allows the surgeon’s hand movements to be scaled, filtered and translated into extremely precise movements within the operative site. The magnified 3-dimensional view and small robotic instruments enhance the surgeon’s ability to perform complex procedures through small incisions.

To perform a procedure, the surgeon uses the console’s master controls to maneuver the patient-side cart’s four robotic arms, which securely hold the patented EndoWrist instruments and high-magnification endoscopic camera. The EndoWrist instruments’ jointed-wrist design exceeds the natural range of motion of the human hand; motion scaling and tremor reduction further interpret and refine the surgeon’s hand movements. A final hallmark of the da Vinci System is its fail-safe design, incorporating multiple, redundant safety features designed to minimize opportunities for human error when compared with traditional approaches.

With conventional laparoscopy, the surgeon must look up and away from the instruments, to a nearby 2D video monitor to see an image of the target anatomy. The surgeon must also rely on his/her patient-side assistant to position the camera correctly. In contrast, the da Vinci System’s ergonomic design allows the surgeon to operate from a seated position at the console, with eyes and hands positioned in line with the instruments. To move the instruments or to reposition the camera, the surgeon simply moves his/her hands.

For the patient, a da Vinci procedure can offer all the potential benefits of a minimally invasive procedure, including less pain, less blood loss and need for blood transfusions, shorter hospital stay, a quicker recovery and faster return to normal daily activities.

Clinical studies also suggest that the da Vinci System may help surgeons provide better clinical outcomes than conventional technologies allow — for example, better cancer control and a lower incidence of impotence and incontinence with da Vinci Prostatectomy.*

While clinical studies support the use of the da Vinci® System as an effective tool for minimally invasive surgery, individual results may vary.

* Cancer control is defined in part by margin rates and PSA test scores. The following studies provide support for these claims: Ahlering TE, Woo D, Eichel L, Lee DI, Edwards R, Skarecky DW. Robot-assisted versus open radical prostatectomy: a comparison of one surgeon's outcomes. Urology. 2004 May;63(5):819-22. Menon M, Tewari A, Peabody JO, Shrivastava A, Kaul S, Bhandari A, Hemal AK. Vattikuti Institute prostatectomy, a technique of robotic radical prostatectomy for management of localized carcinoma of the prostate: experience of over 1100 cases. Urol Clin North Am. 2004 Nov;31(4):701-17. Tewari A, Srivasatava A,