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The da
Vinci Surgical System is the world's only robotic surgical platform
designed to enable
 physicians to perform complex procedures through a
series of 1-2 cm incisions. The da Vinci System offers superior
visualization, enhanced dexterity, greater precision and ergonomic
comfort for the optimal performance of minimally invasive surgery. The
da Vinci System
 consists of an ergonomically designed surgeon's
console, which is linked to a patient-side surgical cart featuring
four robotic arms that position and maneuver the System's proprietary
hand-held instruments and 3D camera. The da Vinci System scales,
filters and seamlessly translates the surgeon's hand movements into
precise movements of the EndoWrist instruments. By allowing physicians
to perform complex surgery in a manner never before experienced,
Intuitive Surgical believes that the da Vinci System is driving new
standards in patient care.
The da
Vinci Surgical System can be used in a number of medical disciplines,
including
*
Cardiac *
General *
Thoracic *
Urologic *
Gynecologic
In order
to better inform prospective patients and their families, this section
offers resources on minimally invasive surgery (MIS), with a focus on
selected procedures performed using the da VinciŽ Surgical System.
Recent
advancements in minimally invasive surgical technologies mean that
today's patients have a broader range of alternatives to conventional
open surgery than patients did just 10 years ago. These advancements
include the da Vinci Surgical System, which is providing patients with
new, minimally invasive surgical procedures that offer significant
advantages over traditional "open" surgeries. These robotic-assisted
minimally invasive procedures – available to treat conditions as
diverse as obesity, heart disease and prostate cancer – can benefit
patients with less pain, discomfort, blood loss and a quicker return
to normal activities.
The da
Vinci Surgical System
The da
Vinci Surgical System from Intuitive Surgical, Inc. enhances surgical
capabilities, providing superior visualization, enhanced dexterity,
greater precision and ergonomic comfort. As a result of these
capabilities, surgeons can now perform even complex surgery using 1-2
cm incisions. This enables healthcare providers to offer a minimally
invasive treatment option to the broadest possible range of patients.
da Vinci
ProstatectomyŽ: A Revolution in Prostate Cancer Treatment
The da
Vinci Surgical System has proven ideal for minimally invasive radical
prostatectomy – the removal of the prostate to treat prostate cancer.
In response to the success of the da Vinci Prostatectomy procedure and
increased patient demand, Intuitive Surgical has launched a new web
site, www.daVinciProstatectomy.com, designed especially for prostate
cancer patients and their families.
Cardiac
Applications
Robotic-assisted minimally invasive cardiac procedures avoid the
drawbacks of traditional heart surgery, including blood loss, pain and
scarring that typically result from cutting through the breastbone and
opening the ribs.
The da
VinciŽ System offers breakthrough capabilities that enable surgeons to
operate through smaller incisions made between the ribs.
As a
result, the da Vinci Surgical System is changing the practice of
cardiac surgery as it's known today. Data suggests that recovery time,
pain and trauma are reduced significantly through this less invasive
approach.
For most
patients, minimally invasive cardiac procedures performed with the da
Vinci Surgical System can offer numerous potential benefits over
open-chest surgery, including:
*
Shorter hospital stay
* Less pain and scarring
* Less risk of infection
* Less blood loss and fewer transfusions
* Faster recovery
* Quicker return to normal activities.
Conditions
Select
the following links to learn more about Intuitive solutions to
specific cardiac conditions:
*
Atrial Septal Defect
*
Mitral Valve Disease
*
Coronary Artery Disease
Atrial
Septal Defect
About
four people in every 100,000 have Atrial Septal Defect (ASD), which is
a heart condition present from birth. An ASD is a hole, or similar
defect, in the wall of the atrium, the upper chamber of the heart
where the wall between the right and left atria does not close
completely during fetal development.
In fetal
circulation an opening normally exists between the two atria (the
upper chambers of the heart) to allow blood to bypass the lungs. This
opening usually closes about the time a baby is born to allow it to
begin to breathe and circulate oxygen-enriched blood. If the opening
persists beyond birth, an ASD results. The ASD allows blood to
continue to flow from the left to the right atria.
When no
other congenital defect coexists, symptoms may be absent, particularly
in children. It may be discovered during a routine physical, and
confirmed with an echocardiogram. For most other patients, symptoms
typically appear by age 30.
With a
small-to-moderate atrial septal defect, a person may live a normal
life span without symptoms. Larger defects may cause disability by
middle age because of increased blood flow and shunting of blood back
into the pulmonary circulation.
If left
untreated, an ASD can result in heart failure or stroke. Individuals
with ASD may also develop complications including infective
endocarditis (a bacterial infection of the heart), heart failure and
an abnormally fast heart rhythm known as atrial fibrillation.
When
symptoms are reported, they usually involve fatigue and shortness of
breath. Other symptoms may include: frequent respiratory infections,
difficulty breathing (dyspnea), shortness of breath with activity and
the sensation of feeling heart beat (palpitations). Because most
people have no symptoms, most ASDs are discovered incidentally during
medical examinations. There is no known way to prevent the defect, but
some of the complications can be prevented with early detection.
Surgical
Repair of an Atrial Septal Defect
ASD
repair may not require treatment if there are few or no symptoms, or
if the defect is small. Surgical closure of the defect is recommended
if the ASD is large or if symptoms occur.
The
traditional "open" approach to ASD repair requires that the surgeon
cut through the breastbone -- the body’s natural protective structure
for the heart -- and pull back the ribs to access the heart. This
approach can prolong healing time, increase risk of infection, serious
complications and even mortality.
da VinciŽ
ASD Repair: A Less Invasive Procedure
If your
doctor recommends surgical repair, you may be a candidate for a new,
less invasive surgical procedure called da Vinci ASD Repair. This
procedure uses a state-of-the-art surgical system designed to help
your surgeon see vital anatomical structures more clearly and to
perform a more precise operation.
For most
patients, da Vinci Atrial Septal Defect Repair offers numerous
potential benefits over traditional open-chest surgery, including:
*
Shorter hospital stay
* Less pain and scarring
* Less risk of infection
* Less blood loss and fewer transfusions
* Faster recovery
* Quicker return to normal activities
As with
any surgery, these benefits cannot be guaranteed, as surgery is
patient- and procedure-specific.
Mitral
Valve Disease
The
mitral valve is a complex structure that controls blood flow through
the left side of the heart. When open, the mitral valve allows blood
to flow into the heart’s main pumping chamber, the left ventricle.
When the left ventricle contracts to push blood through the body, the
mitral valve closes to prevent blood from flowing back toward the
lungs.
Sometimes
the mitral valve is abnormal from birth or becomes damaged by
infection. More often, mitral valve structures become damaged with age
or from coronary artery disease.
Whatever
the cause, an abnormal or damaged mitral valve cannot completely seal
the heart’s left ventricle. With an incomplete seal, blood can escape
the left ventricle and flow backwards through the mitral valve. This
conflicting force can make the heart work harder, leading to further
mitral valve damage and other potential complications such as
congestive heart failure.
Surgical
Mitral Valve Repair
Surgical
repair involves delicate reconstruction of native valve tissues in
order to restore proper function. The most common approach to repair
requires the surgeon to saw open the breastbone and spread the ribs to
gain direct access to the heart.
Cutting
the sternum and opening the rib cage — the body’s natural protective
structure for the heart — can prolong healing time, increase risk of
infection, serious complications and even mortality.
da VinciŽ
MVR: A Less Invasive Procedure
If your
doctor recommends surgical repair, you may be a candidate for a new,
less invasive surgical procedure called da Vinci Mitral Valve Repair (da
Vinci MVR). This procedure uses a state-of-the-art surgical system
designed to help your surgeon see vital anatomical structures more
clearly and to perform a more precise operation.
Coronary
Artery Disease
Heart
disease refers to when arteries become clogged. Over time, fats,
cholesterol and other substances build up in the walls of your
arteries to form a type of plaque. When some of the plaque loosens and
breaks off, a blood clot forms, and blood flow to your heart is
blocked. This usually results in chest discomfort called angina and a
heart attack.
Coronary
revascularization surgery is a heart operation that uses blood vessels
to bypass clogged heart arteries. The goal of the procedure is to
allow blood to flow to the heart the way it should.
More than
half a million coronary revascularization operations are performed
each year to fix clogged arteries. In this surgery, your doctor will
take a blood vessel from your chest, let or arm. One end of the vessel
is attached to a healthy artery, and the other end is attached to the
diseased coronary artery below the point where it is clogged. This
creates a new channel, allowing blood to flow freely again.
The
traditional "open" approach to coronary revascularization surgery
requires that the surgeon cut through the breastbone – the body’s
natural protective structure for the heart – and pull back the ribs to
access the heart. This approach can prolong healing time, increase
risk of infection, serious complications and even mortality.
da VinciŽ
Coronary Revascularization: A Less Invasive Procedure
If your
doctor recommends bypass surgery, you may be a candidate for a new,
less invasive surgical procedure called da Vinci Coronary
Revascularization.
*
Shorter hospital stay
* Less pain and scarring
* Less risk of infection
* Less blood loss and fewer transfusions
* Faster recovery
* Quicker return to normal activities
As with
any surgery, these benefits cannot be guaranteed, as surgery is
patient- and procedure-specific.
Urologic Conditions
The da
VinciŽ System provides breakthrough capabilities that allow surgeons
to perform complex procedures with greater precision through tiny
incisions. Robotic-assisted visualization, dexterity, precision and
control can enable your surgeon to perform a wide array of urologic
procedures through 1-2 cm incisions, from nephrectomies to radical
prostatectomies, while achieving equal or better clinical outcomes.
Urologic
Applications
* da
Vinci Prostatectomy
* da Vinci Pyelopolasty
* da Vinci Cyctectomy
* da Vinci Nephrectomy
* da Vinci Ureteral Reimplantation
Today,
Intuitive Surgical is shaping the future of urologic oncology surgery
with the da Vinci Prostatectomy (dVP). Performed with the da Vinci
Surgical System, dVP represents the fastest growing treatment for
prostate cancer today.
Advantages of da Vinci Prostatectomy
*
Shorter hospital stay
* Less pain
* Less risk of infection
* Less blood loss and transfusions
* Less scarring
* Faster recovery
* Quicker return to normal activities
* Lower incidence of impotence and urinary incontinence
* Potential for better cancer control
Prostate
Cancer
Prostate
cancer is a disease in which malignant (cancer) cells form in the
tissues of the prostate. The prostate is a gland in the male
reproductive system located just below the bladder and in front of the
rectum. It is about the size of a walnut and surrounds the urethra
(the tube that empties urine from the bladder). The prostate gland
produces fluid that makes up part of the semen.
Approximately 16% of American men will be diagnosed with prostate
cancer sometime in their life. Treatment options and prognosis depend
on the stage of the cancer, the Gleason score, and the patient’s age
and general health. With greater public awareness, early detection is
on the rise and mortality rates are declining. Additionally, new
advances in medical technology are enabling cancer victims to go on to
live active and productive lives after their treatment. Consult with
your doctor for advice on the options that are available to treat your
specific condition.
Surgical
Treatment: Radical Prostatectomy
Open
Incision
One of
the most common treatments for prostate cancer involves the surgical
removal of the prostate gland, known as radical prostatectomy.
Traditional radical prostatectomy requires a large, 8-10 inch
incision. This open surgery commonly results in substantial blood
loss, a lengthy and uncomfortable recovery and the risk of impotence
and incontinence.
da VinciŽ
Prostatectomy (dVP): A Less Invasive Surgical Procedure
Ports
If your
doctor recommends surgery to treat your prostate cancer, you may be a
candidate for a new, less-invasive surgical procedure called da Vinci
Prostatectomy. The da Vinci Prostatectomy (dVP) performed with the da
Vinci Surgical System represents the fastest growing treatment for
prostate cancer today.
da Vinci
Prostatectomy incorporates a state-of-the-art surgical system that
helps your surgeon see vital anatomical structures more clearly and to
perform a more precise surgical procedure.
For most
patients, dVP offers substantially less pain and a much shorter
recovery than traditional prostate surgery. As a minimally invasive
procedure, da Vinci Prostatectomy can offer numerous potential
benefits over open prostatectomy including:
*
Shorter hospital stay
* Less pain
* Less risk of infection
* Less blood loss and transfusions
* Less scarring
* Faster recovery
* Quicker return to normal activities
Moreover,
recent studies suggest that dVP may offer improved cancer control and
a lower incidence of impotence and urinary incontinence.
As with
any surgical procedure none of these benefits can be guaranteed as
surgery is both patient and procedure dependent.
The rapid
adoption of da Vinci Prostatectomy combined with increased patient
inquiries has inspired an information portal dedicated to prostate
cancer and its treatment, www.davinciprostatectomy.com. Physicians may
refer patients to this site for further information.
Gynecologic Conditions
Physicians are usually successful at treating a variety of gynecologic
conditions – particularly those affecting the uterus – with surgery.
In spite of growing demand for minimally invasive procedures, the
majority of these operations are still performed using large,
abdominal incisions. These surgeries typically result in significant
blood loss, and may mean several days in the hospital followed by
weeks of recovery time.
Today, a
less invasive surgical treatment option is available. If your doctor
recommends surgery for your condition, you may be a candidate for one
of two new, minimally invasive procedures – da VinciŽ Hysterectomy and
da Vinci Myomectomy.
These
procedures use the state-of-the-art da Vinci Surgical System, designed
to help your surgeon perform a more precise, less invasive procedure.
For most patients, minimally invasive procedures performed with the da
Vinci Surgical System can offer numerous potential benefits over
traditional surgery, including:
*
Shorter hospital stay
* Less pain and scarring
* Less risk of infection
* Less blood loss and fewer transfusions
* Faster recovery
* Quicker return to normal activities.
In
addition, for women diagnosed with uterine fibroids, da Vinci
Myomectomy represents a minimally invasive surgical treatment designed
to preserve the uterus.
As with
any surgery, these benefits cannot be guaranteed, as surgery is
patient- and procedure-specific. To learn more about da Vinci
Gynecologic Surgery, talk with your doctor. To find a doctor who
performs surgery using the da Vinci Surgical System, use our hospital
and doctor locator to find a gynecologic surgeon.
Uterine
Conditions
A wide
variety of conditions affect the uterus, or womb. The uterus is a
hollow, muscular organ which holds and feeds a fertilized egg.
Traditionally, many conditions affecting the uterus are treated with
hysterectomy – the surgical removal of the uterus. U.S. doctors
perform about 600,000 hysterectomies every year, making it the second
most common surgical procedure.
Hysterectomy may offer a life-saving treatment with serious conditions
such as cancer or uncontrollable bleeding. In most cases, however,
hysterectomy is an elective procedure performed to relieve chronic
pain, bleeding or other disabling conditions. These may be caused by
fibroids (noncancerous tumors); endometriosis (noncancerous growth of
the uterine lining) or prolapse (falling or slipping of the uterus).
Traditional Hysterectomy
Hysterectomy can sometimes be performed through the vagina. However,
when the uterus is enlarged – for example, from fibroids or cancer –
an abdominal hysterectomy is preferable. This requires a 6-12 inch
incision. In some cases, doctors also remove the ovaries because they
are thought to release hormones contributing to the condition.
While
hysterectomy is relatively safe, it may not be appropriate or
necessary for all individuals or conditions. Alternative treatments
that can preserve the uterus and ovaries may be available. Always ask
your doctor about all treatment options, as well as their risks and
benefits.
da VinciŽ
Hysterectomy: A Less Invasive Surgical Procedure
If your
doctor recommends hysterectomy, you may be a candidate for a new, less
invasive surgical procedure called da Vinci Hysterectomy. This
procedure uses a state-of-the-art surgical system designed to help
your surgeon perform a more precise, minimally invasive procedure. For
most women, da Vinci Hysterectomy offers numerous potential benefits
over traditional surgical approaches, including:
*
Shorter hospital stay
* Less pain
* Faster recovery
* Quicker return to normal activities
* Less risk of wound infection
* Less blood loss
* Less scarring
As with
any surgery, these benefits cannot be guaranteed, as surgery is
patient- and procedure-specific.
To learn
more about da Vinci Hysterectomy, talk with your doctor.
Thoracic
Applications
Robotic
surgical technologies have already started to change the way surgeons
operate inside the chest – in particular for procedures performed on
the lungs and esophagus.
With the
use of the da VinciŽ System, thymectomies and other potentially
traumatic procedures can be performed through 1-2 cm incisions,
without spreading or cutting the breastbone or ribs, thereby
minimizing blood loss, pain and scarring.
Studies
suggest that this less invasive approach can greatly reduce recovery
time, pain and trauma associated with thoracic surgery.
For most
patients, minimally invasive thoracic procedures performed with the da
Vinci Surgical System can offer numerous potential benefits over
open-chest surgery, including:
*
Shorter hospital stay
* Less pain and scarring
* Less risk of infection
* Less blood loss and fewer transfusions
* Faster recovery
* Quicker return to normal activities.
Thoracic
Procedures
* da
Vinci Thymectomy
* da Vinci Lobectomy
* da Vinci Esophagectomy
* da Vinci Mediastinal Tumor Resection
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