Patients and visitors can control the da Vinci Xi surgical robot both with the help of a training computer program and by moving objects in real time for two days.
Initially da Vinci Xi was used for minimally invasive surgery in the Robotic Surgery Center at the Charles University Urology Clinic. Over time more clinics began to use the system for minimally invasive operations: the Charles University Obstetrics and Gynecology Clinic, the Charles University Surgical Clinic, the Third Surgical Clinic, Motol University Hospital.
An operating robot consists of three components: a four-armed system, an instrument tower and a console, a surgeon’s individual workstation. From a layman’s point of view, robotic surgery is an “advanced” laparoscopy. Instruments with movable joints, which the surgeon controls from the outside, are inserted into the patient’s body from several inlets (punctures) using the console, which is located at the operating table.
The surgeon controls the ends of the instruments with highly sensitive joysticks that the surgeon puts on each finger. Intuitive hand movements imitate the movements that he would make in the case of a classic operation. The system makes them more accurate and gentle.
The main technical advantages over laparoscopy:
- 3HDH technology allows the surgeon to better visualize the surgical wound and its surroundings (anatomical layers, nerve and vascular structures), which is not possible with open surgery or 2D imaging.
- Greater accuracy of tool movement, thus greater agility and range than is possible with a human wrist, incl. 100% filtration of hand shake.
- The surgeon needs less help; he can concentrate on monitoring the camera and instruments.
Advantages following the results of surgical intervention:
- Robotic surgery significantly reduces blood loss during surgery, the risk of complications, reduces pain after surgery, reduces the time spent in the hospital and accelerates the return to normal life;
- With radical surgery for prostate cancer (the most commonly performed robotic procedure), it gives better functional results (lower risk of urinary incontinence and impotence after surgery);
- Provides safe work in extremely inaccessible places. Thus, in comparison with conventional laparoscopy, minimally invasive surgery is possible in a larger number of patients (who otherwise would have required an open operation).
- The technology brings a number of innovations that improve the detection of tumor deposits during the procedure.