Robotic surgery

Robotic Surgery

Robotic surgery is surgery using a robot under the control of a surgeon. This technology began to be applied in 2000 in urology, and it began to spread rapidly around the world, including in Russia, where 25 such surgical systems were already in use in 2016. There is also a robot surgeon in our clinic, and robotic operations are regularly performed on it.

Robotic surgery has found medical applications in many areas. It is used in gynecology and urology, in coloproctology, cardiology, otolaryngology, etc. It is used to treat cancer and remove tumors. This technology has been tested on a variety of surgical interventions of varying complexity and has significantly advanced the quality of surgery and rehabilitation after surgery.

What is robotic surgery?

The da Vinci robot is a special device that allows for much more subtle manipulations, than the hands of a surgeon. Robot tools flex in all sorts of directions and with less damage to the body than during a conventional operation. In addition, the robotic surgery device can do three-dimensional image of the internal parts of the body, which greatly increases the control over the performance of the surgical intervention. The robot is controlled by the surgeon, but all his movements are converted into smaller and more precise ones, which makes the procedure effective and safe for the patient and prevents complications after the operation.

The da Vinci Robotic Surgery Device consists of a console and a robotic arm. The console is designed for the surgeon, who plays the role of an operator and with its help controls the da Vinci robot and monitors the progress of the operation. The robot has four "arms" at its disposal: a camera and three surgical instruments. Behind the console, the surgeon sees an enlarged 3D image of the internal organs and tissues of the operated person and uses joysticks to control the robot's instruments from a comfortable chair, rather than bending over the operating table. At the same time, the movements of the instruments have a smaller amplitude and greater accuracy, as well as a wider range of movements, which the surgeon's hands are not capable of. This allows you to do without large scars and damage to internal tissues after surgery.

Thanks to the robotic surgery system, it is possible to obtain a visualization of the process in the most inaccessible areas of the body for the human eye. The surgeon is less tired, can concentrate better, and hand tremor, if it occurs, is extinguished by da Vinci systems.

The robotic surgery system is constantly being improved, the software is being updated, new programs are being created, and the range of surgical procedures that can be performed on this device is expanding.

In our clinic, robotic operations are performed on new modern equipment by highly qualified specialists. Call us by phone or leave a request on the site, and we will contact you as soon as possible.

How are the robotic surgeries going?

Before robotic surgery, the surgeon needs to make several very small incisions to allow access to the instruments to the target area. Then at the console, he controls da Vinci's miniature instruments, keeping track of every step. The robot does not perform any programmed actions. All interventions are carried out under the constant supervision of the surgeon. Human actions in real time are translated into the movements of robotic "arms". At the same time, the surgeon's console can be located right next to the operating table or at some distance from it. But in any case, a surgical assistant is always near the patient.

Robotic surgery allows:

  • perform the operation with a minimum of tissue damage and blood loss of the patient;
  • perform the operation in the most inaccessible places;
  • to prevent many of the complications that often occur after surgery;
  • Ensure a quick recovery of the patient after surgery.

In our clinic you can get all the benefits of robotic surgery under the supervision of highly qualified experienced doctors.

Robotic surgery in the treatment of diseases

In each case, the steps and stages of a robotic operation are developed individually, taking into account the situation, the place of operation, the nature of the disease and the patient's condition, the size and location of the tumor, and the stage of cancer. The robot allows you to perform very delicate procedures. For example, to remove a malignant tumor completely, preventing the risk of recurrence. At the same time, it will not touch the internal organs or nerve endings, which happens during such interventions in the body. With da Vinci you can get by with minimal blood loss during robotic surgery. All this will allow the patient to recover quickly after surgery with a minimum of unpleasant consequences.

The following surgical procedures are performed using robotic surgery:

  • heart surgery;
  • resection of lung lobes;
  • esophagectomy (removal of part of the esophagus);
  • thyroid resection;
  • tonsillectomy (removal of the tonsils);
  • nephrectomy (removal of the kidney);
  • removal of tumors of the prostate gland, uterus and its appendages, large intestine;
  • disc replacement;
  • and others.

Robotic surgery is still a young field of medicine, but it has already shown its best side. For example, the vast majority of prostate tumor surgeries in the United States are performed using a robot. And the percentage of recovery of erectile function after surgery is higher than after traditional surgery.

In our clinic, various diseases are treated using the achievements of robotic surgery. Call us by phone to find out the details and the range of procedures performed or sign up for a consultation with a doctor on the website.

Robotic Surgery

Robotic surgery, laparoscopy or conventional surgery?

The advantages of traditional surgery are the low cost of instruments and equipment, availability in any clinic, the ability to feel tissue turgor, their density and other characteristics that allow you to adjust the course of the operation at the discretion of the doctor, the ability to see the procedure area with your own eyes without intermediaries. Among the disadvantages: high trauma (cuts from a few centimeters long) of the skin, muscles, ligaments, there can be a large amount of blood loss, a long recovery period after surgery, depending on the type of intervention, there can be quite large and noticeable scars.

The advantages of laparoscopic surgery: the availability of such an operation is lower than conventional, but still it is already a very common procedure, there is a 2D visualization with a clear image, minimal trauma and small scars (1–3 cm) after the operation, less blood loss, than conventional surgery and a shorter recovery period. Disadvantages: more expensive equipment and the need for special training of medical personnel, many contraindications to the operation, limited visibility.

Benefits of robotic surgery:

  • an intuitive system of robotic arm movements that matches the movements of the surgeon's fingers;
  • More degrees of freedom for robot instruments in the operating field, which allows you to perform manipulations that human hands and fingers are not capable of;
  • 3D and 4D visualization with multiple magnification and high accuracy;
  • the ability to install cameras on all instruments and get an overview of the operation from different angles;
  • minimal trauma to the patient's tissues and organs and, accordingly, the minimum amount of blood loss;
  • the impossibility of tremors or occasional shaking that humans have;
  • the ability to perform operations in hard-to-reach places, in parts of the body with limited space (in the pelvic area, mediastinum, heart cavity, on the thyroid gland, spine, near nerve bundles, blood vessels);
  • short recovery period for patients after surgery;
  • small postoperative scars about half a centimeter.

Disadvantages of robotic surgery:

  • high cost of equipment, maintenance and robotic operations;
  • need to be trained by surgeons and other medical personnel;
  • low prevalence in Russian clinics;
  • lack of tactile perception, however, now this is being corrected and programs are being added that will allow the surgeon to at least to some extent feel the resistance of tissues.

Not all interventions need to be performed using robotic surgery. There are cases when it is faster and more efficient to use a scalpel or prescribe a laparoscopic operation. But in some situations, the da Vinci robot is indispensable. Especially when it comes to operations of the pelvic organs, the removal of tumors in hard-to-reach places, surgical interventions in the work of the heart or thyroid gland, operations on overweight patients, etc.

Robotic surgery at "K+31" clinic

The doctors of our clinic have perfectly mastered the technique of robotic surgery and already have extensive experience in performing such operations. We are one of the few medical centers in Moscow (and Russia) where this technology is used on a daily basis. In our clinic, robotic surgery is not new, and robotic surgery has become an integral part of the treatment of many diseases.

Despite this, our doctors continue to improve their skills in robotic surgery in various areas and areas of medicine. They are constantly practicing and mastering all the new features that appear in da Vinci. And the robot itself regularly and timely undergoes maintenance.

In our clinic, using robotic surgery, doctors treat prostate cancer, bladder cancer, cancer with metastases in the lymph nodes, and other oncological problems. We are holding:

  • robot-assisted prostatectomy;
  • Robot-assisted extended retroperitoneal lymphadenectomy;
  • Robot-assisted radical cystoprostatectomy with heterotopic reconstruction of the urinary reservoir;
  • robotic mechanotherapy for diseases and injuries of the joints.

During the operation, the robot will not touch the patient's organs, such as the wall of the bladder or rectum. After the operation, there is less risk of infection or blood poisoning, the patient experiences less pain and can be discharged from the hospital in some cases the very next day after the operation.

We are located in Moscow and provide high quality medical services. Our clinic performs magnetic resonance imaging, computed tomography and other diagnostic methods. We treat oncological diseases, diseases in the fields of gynecology, urology, endocrinology, etc. We provide paid services and free treatment under the CHI policy. You can learn more about the "K+31" clinic, our doctors, the technologies used for diagnosis and treatment by phone. And to book an appointment for a consultation - by phone or on the website.

Service record



Specialists

All specialists
Merkulov
Igor Alexandrovich

Deputy chief physician for oncology, oncologist

Doctor of Sciences, PhD


Academician, professor, Doctor of Sciences, PhD

Petrov
Dmitry Yurevich

Deputy chief physician for oncology, surgeon

PhD, Docent

Ershova
Ksenia Igorevna

Head of department, oncologist

PhD

Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Malygin
Sergey Evgenyevich

Oncologist-mammologist, surgeon

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Shevchuk
Alexei Sergeyevich

Oncogynecology consultant, obstetrician-gynecologist

PhD

Chichkanova
Tatyana Vladimirovna

Oncologist-mammologist, radiologist

Katz
Ksenia Vladimirovna

Dermatovenerologist, oncologist

Rakova
Elena Sergeevna

Oncologist, chemotherapist

Udin
Oleg Ivanovich

Deputy chief physician for surgery, surgeon

PhD

Kogonia
Lali Mikhailovna

Chemotherapist

Doctor of Sciences, PhD

Ushenina
Maria Valerievna

Oncologist-chemotherapist

PhD

Stepura
Yulia Evgenievna

Head of the department of antitumor drug therapy, oncologist, chemotherapist

Volkova
Daria Mikhailovna

Head of the radiation therapy department

Gomov
Mikhail Alexandrovich

Consultant in oncogynecology, obstetrician-gynecologist

Grishin
Igor Igorevich

Obstetrician-gynecologist

Doctor of Sciences, PhD, professor

Achba
Maya Otarovna

Radiologist, ultrasound diagnostician, oncologist-mammologist