What is robotic surgery?
Robotic surgery is increasingly being used for a multitude of complex surgeries in order to increase precision and control from the surgeon. Robotic surgery involves the use of a robotic surgical system, which is controlled by the surgeon. Therefore, it is only the controlled robotic system that is entering the surgical cavity and not the surgeon's hands and instruments, hence why these procedures are known as minimally invasive.
da Vinci Si - Robotic Surgery System
At Robotic Surgery London we pride ourselves on using the latest technological advancements, which includes the use of the da Vinci© surgical system to perform our robotic surgeries. This system received FDA approval in 2000 and was designed to allow surgeons to perform tricky and delicate surgeries using minimal invasion. Using this system for these surgeries provides increased dexterity, vision, accuracy and control while also being able to see a 3D image of the surrounding nerves, blood vessels and muscles. Furthermore, it reduces the pain and discomfort felt by the patient, leads to less blood loss during the surgery and minimal scarring due to the small incision, and it speeds up recovery time in relation to normal open surgery.
So far there have been more than 1.5 million surgeries performed using the da Vinci surgical system worldwide. The Princess Grace Hospital was the first hospital to bring this system to the UK, which led to the first liver re-section, pancreaticoduodenectomy and the first single access cholescystectomy in the UK. With the largest group of robotic surgeons in the UK our experience and knowledge in this area is unmatched.
The remote control station allows the surgeon to immerse themselves in surgery seeing the organs in a much closer way.
The translation of movement from the surgeon to the robot allows the surgeon to make more definite and accurate movements which are then translated to smaller micro movements by the robot. The difference between using a robotic system is that the surgeon sits away from the patient at a control console. The surgeon remains in the theatre and has a surgical assistant by the patient at all times.
Firefly - Luminescence
Firefly is an addition to the da Vinci Si system and refers to a fluorescence imaging system. This imaging system involves the injection of a fluorescent dye into the bloodsteam. This dye sticks to the healthy blood cells and so when the surgeon uses the additional specialised camera they can see clearly a difference between healthy tissue and diseased tissue and they can also see how the blood is flowing. Below is an image of how the Firefly system works with some examples of the system in use.
This is beneficial because not only does it mean that the surgeon can remove more of the diseased tissue without affecting the healthy tissue, but they can also ensure that the blood continues to flow as expected after removal of this tissue. The ability to use this system is an extension of the surgeon's ability that would not be possible using traditional techniques.
Before: the normal tissue and a familiar sight for a surgeon
After: the healthy tissue glows to guide the surgeon more accurately to the diseased tissue