Conditions & treatments covered

This surgical robot, the ‘SI’, allows the surgeon greater dexterity to see surgery site enhanced with 3D/HD images. By using the robot greater accuracy can be achieved and it will be used for major operations ranging from prostate surgery, the repair of heart valves, to complex liver and kidney surgery.

Our consultants are experienced surgeons, who have gained a wealth of laparoscopic surgical expertise and individually performed a high number of laparoscopic and open procedures throughout their time in NHS and private healthcare.

Each consultant using the robot has undertaken peer-to-peer training on specialist robotics courses, with Intuitive Surgical, the creators and manufacturers of the da Vinci Si robot. Once our surgeons have performed a number of observed procedures, they are able to use their skills in robotic surgery for operations in NHS and private practice.

da Vinci robot consoleWhat is the da Vinci Robot?

The da Vinci Si surgical system is a robot which allows surgeons to undertake minimally invasive procedures, using more precise and delicate movements, via much smaller incisions. During a robotic operation the surgeon sits slightly away from the patient at a control console, although an assistant surgeon and a theatre nurse are beside the patient throughout the entire procedure.

As with the traditional minimally invasive surgical method, the procedure is carried out under general anaesthesia. A number of small openings (ports) are made, each around 5-12mm in length; and through these ports, a variety of different instruments can be introduced. These instruments have a greater range of movement than the human hand, allowing the surgeon to carry out an operation in smaller and more difficult to-reach areas within the body.

Through a magnified viewfinder, the surgeon examines 3D images sent to the console via the endoscopic camera inside the patient. The surgeon’s hands are then placed in ultra-sensitive controls, allowing the robots arms to mimic, with extreme precision, the surgeon’s movements. This advance in surgical technology means that major and routine operations can now be performed with better outcomes than ever before.

Benefits of Robotic Surgery

Robotic surgery offers patients a variety of benefits including:

  • Reduced trauma to the body
  • Less anaesthesia
  • Reduced blood loss
  • Less risk of infection
  • Effective control of disease
  • Less scarring and improved cosmetics
  • Shorter hospital stay
  • Faster recovery time and return to normal activities
  • Improved and early return of continence & sexual function (for men undergoing robotic prostatectomies)

More about Laparoscopic Surgery

 

 

Cardiothoracic Surgery

Surgeons can use the da Vinci robot to treat a range of cardiothoracic conditions, these include:

  • Mitral valve prolapse
  • Atrial septal defect
  • Coronary artery disease

The da Vinci system allows the surgeon to operate using only a few small incisions made between the patient’s ribs and negates the trauma & pain that can be caused from cutting through the breastbone, which is the traditional approach to cardiothoracic surgery.

Mitral-Valve-Repair by da vinci Robot 

Robotic procedures currently undertaken by Cardiothoracic Surgeons include:

Robotically assisted single artery bypass - the da Vinci robot can be used to treat a range of cardiac and thoracic conditions including mitral valve prolapse, atrial septal defect and coronary artery disease.

More about our Cardiac Surgery service

Consultants

Browse consultants for this speciality, and find out more about their skills

Head & Neck Surgery

Using the da Vinci robot, specially trained surgeons can now remove the thyroid gland through an incision in the axilla, or armpit, thereby avoiding a large scar on the front of the neck caused by traditional thyroid surgery. Trans Oral Robotic Surgery (TORS) can also be performed via the da Vinci robot, allowing surgeons to remove benign and malignant tumours of the mouth and throat.

TORS is performed through the patient’s mouth and provides unprecedented access to the small and often difficult-to-reach areas of the mouth and throat. It can also be used to treat sleep apnoea and snoring.

Robotic procedures currently undertaken by ENT Surgeons include:

  • Robotically assisted thyroidectomy
  • Trans Oral Robotic Surgery (TORS) to remove benign and malignant tumours of the mouth and throat.

General/Hepatic Surgery

Multiple types of general/hepatic surgery can be performed using the da Vinci robot. Specific procedures include colon resection, pancreatectomy, oesophagectomy, oesophageal fundoplication for the treatment of gastroesophageal reflux, Heller myotomy for the treatment of achalasia and also bariatric surgery. Following robotic surgery the patient can leave with less pain than usual surgery.

Robotic procedures currently undertaken by General / Hepatic Surgeons include:

  • Robotically assisted colooesophageal fundoplication for the treatment of gastroesophageal reflux
  • Robotically assisted Heller myotomy for the treatment of achalasia
  • Robotically assisted Cholecystectomy.

Gynaecology Surgery

Gynaecology is one of the fastest growing fields in robotic surgery. The da Vinci system can treat a range of gynaecological conditions from chronic pelvic pain to abnormal bleeding and oncology. This includes treatment for fibroids, abnormal periods, endometriosis, ovarian tumours, pelvic prolapse, hysterectomies, myomectomies, female cancers and lymph node biopsies, tubal surgery and reversal of sterilisation. The need for large abdominal incisions is virtually eliminated, allowing patients to return to their normal lifestyle faster.

Robotic procedures currently undertaken by Gynaecologists include:

  • Robotically assisted hysterectomies – partial/full
  • Robotically assisted radical hysterectomies for cervical cancer
  • Robotically assisted myomectomies
  • Robotically assisted sacrocolpopexy and colposuspension for vaginal prolapse
  • Ovarian cystectomies and treatment of endometriosis

Includes treatment for:

  • chronic pelvic pain to abnormal bleeding and oncology
  • fibroids
  • abnormal periods
  • endometriosis
  • ovarian tumours
  • pelvic prolapse
  • female cancers and lymph node biopsies.

More about our Gynaecology service

Urological Surgery

Robotic surgery in the field of urology has grown very quickly. Robotically assisted prostatectomy has rapidly become the number one choice for the treatment of prostate cancer. This is due to increased cancer control and nerve sparing capabilities which significantly reduce the incidence of impotence and urinary incontinence.

The da Vinci robot can also be used to carry out kidney cancer surgery and some bladder surgery, including radical cystectomy, radical/partial nephrectomy, pyeloplasty and uretheral reimplantation.

Prostectomy-Incision diagram 

Robotic procedures currently undertaken by Urologists include:

Prostate

  • Robotically assisted prostatectomy - number one choice for the treatment of prostate cancer due to increased cancer control and its nerve sparing capabilities which significantly reduce the incidence of impotence and urinary incontinence.

Kidney cancer surgery and bladder surgery

  • Robotically assisted Radical Cystectomy
  • Robotically assisted Radical/Partial Nephrectomy
  • Robotically assisted Pyeloplasty
  • Robotically assisted Ureteral Reimplantation

More about our Urology service

I suffered minimum discomfort and was able to walk unassisted later on the day of the operation. The following day I was walking with ease, taking showers and eating a regular diet.

Radical Prostectomy with Mr Omer Karim

Read all patient stories