Robotic Surgery Status Quo + Development Martin Kaloš Czech Society for Robotic Surgery 3 rd of December 2012 Almaty
Czech Society of Robotic Surgery
da ® Vinci Si HD
2009 Si Model Updates 2006 • 3 D HD Vision (720 p) • Multi-quadrant access • Interactive video displays • 3 D Vision • Endo. Wrist Instrumentation • Intuitive® Motion 876337 Rev A 4/12 Core Technology S Model Updates 1999 • Enhanced HD Vision (1080 i) • Dual Console option • Upgradable architecture
Current Development Advanced Instrumentation* Single-Site™ Firefly™ Fluorescence Imaging Skills® Simulator™ *Endo. Wrist Stapler is pending 510(k) clearance 876337 Rev A 4/12 da Vinci® Si™
Single Site Surgery: Laparoscopic Surgery Single Incision Laparoscopy Single-Site™ Instrumentation has CE Mark and is FDA-cleared for cholecystectomy. PN 875265 Rev A 11/11 Open Surgery
da Vinci. TM Single Site SCOPE
da Vinci. TM Single Site
New Instruments
Fluorescence Excitation laser light from illuminator Return signal from fluorescing ICG
Fluorescence Identify vessels during IMA / IMV dissection Assess perfusion of large bowel prior to transection Assess perfusion of rectal stump prior to transection
ROBOTIC SURGERY IN THE WORLD
• Installations worldwide: 2 341 – 389 v Europe – 1 707 USA – 245 Rest of the World
Installments – World Data 2 132 2 341
Procedures – World Data 360 000 278 000
Thoracic Surgery Abdominal Surgery UROLOGY General surgery Lung Surgery Cardiosurgery Gynecology Vascular Surgery ENT Tongue Base CA Thyreidoctomy
Indications – World Data
1200 Indications – Czech data 1000 980 959 799 800 chirurgie urologie gynekologie cévní chirurgie kardiochirugie ORL 600 517 400 306 200 157 142 4954 11 6 5 6 147 146 4952 36 0 2005 2006 2007 152 146 2536 10 3 2008 5343 11 8 2009 136 128 53 1111 2010 109 49 9 9 2011
Most Frequent gy olo Ur 1. da. Vinci Radical Prostatectomy 2. da. Vinci Partial Nephrectomy
da. Vinci Prostatectomy Results
Oncological effects of Robotic Surgery Positive margins Robotic x Laparo x Open
Most Frequent gy lo neco Gy 1. d. VH : da Vinci Hysterectomy 2. d. VSC : da Vinci Sacrocolpopexis 3. d. VM : da Vinci Myomektomie
da. Vinci Hysterectomy Results
Most Frequent al ner y Ge ger Sur 1. d. V LAR : da Vinci Low Anterior Resection 2. d. VTh : da Vinci Thyreoidectomy
Da Vinci Low Anterior Resection (Baik) robotic Versus Laparoscopic Low Anterior Resection of Rectal Cancer: Short-Term Outcome of a Prospective Comparative Study* from Dr. Baik. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea Annals of Surgical Oncology. 2009. *Baik, et al. robotic Versus Laparoscopic Low Anterior Resection of Rectal Cancer: Short-Term Outcome of a Prospective Comparative Stud. Ann Surg Oncol DOI 10. 1245/s 10434 -009 -0435 -3.
Other 1. ENT – Transoral 2. Cardiac 3. Lung
Thank you !
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