minimally invasive

minimally invasive

Dr. Darren Bruck Discusses Robotic Surgery In Urology

9h ago
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Description

Here at Kendall Regional Medical Center, we use The Da Vinci Robotic system to perform prostate cancer. The way that we treat prostate cancer has really changed a lot in the past 10 years. When I first started to perform prostate cancer in the year 2000, we were doing all of our prostate cancer surgeries the traditional way—performing open surgery. Today, we are able to perform surgery in a very minimally invasive fashion by making a few small incisions on the abdominal wall, performing what's called "laparoscopic surgery," by putting a three dimensional microscopic scope into the belly and then introducing a laparoscopic instruments, long instruments that are connected to robotic arms. I sit away from the patient at a robotic console, looking into a three dimensional view finder, and using joysticks to actually manipulate the instruments which are inside the patient's belly in order to remove the prostate cancer in a very precise manner. This allows for less bleeding, a much quicker recovery time, a lot less pain, and I feel a more accurate way of doing the surgery. I think one of the greatest advancements in the field of urology in the past ten-fifteen years is that the ability to perform laparoscopic kidney surgery. For patients who have kidney tumors, the treatment is kidney removal and traditionally, the surgery involves making a large incision, either on the abdominal wall or on the flank to remove the kidney. This is a very painful incision and patients typically will stay in the hospital 3 or 4 to 7 days after a traditional open kidney surgery. Today we're able to perform laparoscopic kidney surgery allowing patients to stay in the hospital about 48 hours, there's much less blood loss, much less pain. One of the newest things we're doing now is we're able to perform what's called "partial nephrectomy," or partial kidney removal, just removing the tumor away from the kidney while sparing the rest of the healthy kidney tissue. This is a procedure that we're performing using the robotic technology.