Robot-Assisted Surgery -- Overview
Reasons for Procedure
- Require precision
- Do not require open access, especially laparoscopic procedures
- Less scarring
- Reduced recovery times
- Less risk of infection
- Less blood loss
- Reduced trauma to the body
- Shorter hospital stay
- Faster recovery
- Adrenalectomy (removal of adrenal gland)
- Cholecystectomy (removal of the gallbladder)
- Gastric bypass (procedure to treat obesity and reduce the size of the stomach)
- Heller myotomy (procedure on the lower esophageal sphincter)
- Nissen fundoplication (treatment for severe heartburn)
- Radical prostatectomy (removal of the prostate)
- Colorectal surgery (surgery of the colon)
- Appendectomy (removal of the appendix)
- Nephrectomy (removal of the kidney)
- Hernia repair
- Damage to neighboring organs or structures
- Anesthesia-related problems
- The need to switch to traditional surgical methods (eg, traditional laparoscopic or open surgery)
What to Expect
Prior to Procedure
- Physical exam
- Blood tests
- Electrocardiogram (ECG, EKG) —a test that records the electrical currents passing through the heart muscle
- Chest x-ray
- Ultrasound —a test that uses sound waves to visualize the inside of the body
- CT scan —a type of x-ray that uses a computer to create images of the inside of the body
- MRI scan —a test that uses magnetic fields and radiowaves to create images of the inside of the body
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Anti-inflammatory drugs (eg, aspirin )
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
- Take antibiotics if instructed.
- Follow a special diet if instructed.
- Shower the night before using antibacterial soap if instructed.
- Arrange for someone to drive you home from the hospital. Also, have someone to help you at home.
- Eat a light meal the night before. Do not eat or drink anything after midnight.
- General anesthesia —blocks pain and keeps you asleep through the surgery.
- Local anesthesia—just the area that is being operated on is numbed; given as an injection and may also be given with a sedative
Description of the Procedure
|Small "Keyhole" Incisions|
|Small "keyhole" incisions are placed in preparation for a robot-assisted surgical procedure.|
|Copyright © Nucleus Medical Media, Inc.|
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Be encouraged to walk (with help) soon after surgery
- Receive guidelines on what you should eat and what activities you can do—Depending on your procedure, you should be able to go back to your normal activities in a few weeks.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from an incision site
- Cough , shortness of breath, chest pain, or severe nausea or vomiting
- Pain, burning, urgency, frequency of urination, or persistent bleeding in the urine
- Pain and/or swelling in your feet, calves, or legs, or sudden shortness of breath or chest pain
- Constipation or diarrhea
- Other worrisome symptoms
American College of Doctors http://www.facs.org/
Food and Drug Administration http://www.fda/gov/
Canadian Agency for Drugs and Technologies in Health http://www.cadth.ca/
Health Canada http://www.hc-sc.gc.ca/index%5Fe.html/
Computer-assisted surgery: an update. Food and Drug Administration website. Available at: http://www.fda.gov/fdac/features/2005/405%5Fcomputer.html . Accessed June 20, 2006.
The da Vinci surgical system. University of Southern California, Cardiothoracic Surgery website. Available at: http://www.cts.usc.edu/rsi-davincisystem.html . Accessed September 16, 2009.
Robotic surgery. Brown University website. Available at: http://biomed.brown.edu/Courses/BI108/BI108%5F2005%5FGroups/04/ . Accessed September 16, 2009.
Robotic surgery. Thinkquest website. Available at: http://library.thinkquest.org/03oct/00760/ . Accessed September 16, 2009.
Robots lend a helping hand to doctors. Food and Drug Administration website. Available at: http://www.fda.gov/FDAC/features/2002/302%5Fbots.html . Accessed June 20, 2006.
- Reviewer: Marcin Chwistek, MD
- Review Date: 11/2012 -
- Update Date: 11/30/2012 -