Robot-assisted operations in urology in Moscow

The probability of medical error during the operation is reduced to zero by automated systems. Innovative technologies are used in surgical treatment in the department of urology. Robot-assisted surgeries of a high degree of complexity in Moscow are carried out at the "K+31" multidisciplinary medical center. If you need surgery, make an appointment with the urologist of our clinic by phone or online.

The robot-assisted technique brought surgery to a qualitatively new level, combining the skills and experience of a doctor with the precision of modern digital technology.

What is a robotic operation?

Robotic operations are low-traumatic operations that are performed by laparoscopic access, i.e. through several small incisions (no more than 1.5 cm). The da Vinci surgical system is fully controlled by an experienced physician.

The da Vinci complex consists of an operator console, a patient console and a vision unit. The most complex manipulations are carried out without direct contact with the patient.

The specialist is not standing at the operating table, but is in the next room in front of the monitor. It controls the movements of the robot through special handles.

The working surfaces of the manipulators are insulated with sterile disposable covers. Three "artificial hands" are equipped with tools, and one is equipped with a camera with a light source.

Please note: over 3,000 operations are performed annually in Russian medical centers using the cutting-edge da Vinci instrument.

The entire operating team can manipulate in real time, as the image is transmitted to a monitor mounted on a separate rack.

The Benefits of the Da Vinci System

In the course of robot-assisted operations, excellent visualization of the surgical field is provided. An enlarged and maximally clear image allows you to consider even minimal changes in the structure of organs and tissues.

Software compensates for jerky movements and shaky fingers. Insufficiently correct commands are immediately blocked by the software, thus eliminating the "human factor" that can lead to complications.

The camera of the robotic system transmits a three-dimensional color image to the monitor. A good view from different angles eliminates the possibility of accidental damage to the nerve plexuses and blood vessels. The diameter of microtools does not exceed 5-7 mm.

Several dozens of different microinstruments can be used during the operation. Manipulators are much more mobile than human hands; EndoWrist technology provides them with 7 degrees of freedom. Mechanical arms can bend at right angles and rotate around the longitudinal axis.

Laparoscopic robotic interventions take less time than conventional ones. Radical removal of a neoplasm within healthy tissues takes no more than two hours.

Minimally invasive operations minimize blood loss, which eliminates the need for blood transfusion. The recovery of the patient after robotic interventions in the vast majority of cases is much faster than after "classical" operations.

Robotic surgery with the da Vinci is a guarantee of excellent aesthetic results. After incisions of minimal length, the scars are almost invisible, which is especially important for women.

For men, minimally invasive manipulations avoid problems such as urinary incontinence and erectile dysfunction after prostatectomy.

Robot-assisted surgery in urology

With the help of the modern da Vinci system, nephrectomy, resection of tumors, removal of the prostate gland, intestinal plastic surgery of the ureteropelvic segment, as well as nephroureterectomy (removal of the affected kidney with the ureter) are performed in our clinic.

Surgeries in the center of robotic surgery are more often performed with tumor neoplasms. Less often, the participation of a mechanical assistant is required for mechanical damage and cysts of the organs of the urogenital system.

Important: Over 70% of robotic surgeries are performed as part of the treatment of acquired pathologies of the structures of the genitourinary system.

Urological pathologies operated by the robot:

  • neoplasms in the kidneys and adrenal glands;
  • malignant tumors of the prostate;
  • hydronephrotic transformation (edema of the kidney);
  • Different forms of bladder cancer.

The stages of operations, assisted by the machine, are identical to the algorithm of standard laparoscopic intervention. Up to four manipulators with instruments and cameras are simultaneously introduced into the patient's body through trocar tubes.

The doctor sits at the control console, and his assistant is directly in the sterile area, switching the system and changing instruments in the clamps of the manipulators.

In the postoperative period, the patient remains in the intensive care unit for 1 day, where the clinic staff monitors vital signs (including diuresis, blood pressure and respiration).

After 1-2 hours after coming out of anesthesia, a person can sit down and move independently. Soreness in the area of small incisions is minimal, so there is rarely a need for additional anesthesia.

In the absence of complications, the patient is transferred to the ward of the urology department. The drainage is removed on the first or second day, and the catheter from the urethra - on the 5-7th day.

The time of hospitalization after laparoscopy does not exceed 2-3 days. Small incisions heal quickly, which reduces the risk of developing an infectious and inflammatory process. During the rehabilitation period, which lasts 1-2 weeks, it is recommended to avoid physical exertion and follow the prescribed diet.

Robotic technique allows not only therapeutic, but also minimally invasive diagnostic manipulations (for example, a biopsy for neoplasms).

The medical center has expert-class diagnostic and surgical equipment. The equipment is adjusted and calibrated before each operation, which eliminates the possibility of error.

The "K+31" Medical Center offers quite affordable and fixed prices for the diagnosis and surgical treatment of urological diseases. The doctors of our clinic regularly take professional retraining courses and strictly adhere to the world standards of operative urology.

Our specialists always follow the current protocols and medical ethics. We guarantee our clients complete confidentiality. Information about their problem and treatment will not be shared with outsiders.

Service record

Services



Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist