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Robotics

Robotic Surgery

Robotic surgery enables the surgeons to perform urological surgeries through a few small incisions (cuts). This obviates the need for giving large cuts as in the case of the conventional open surgery.

During surgery, your surgeon sits at a console near the patient and performs the surgery using small instruments. The robotic system replicates every hand movement your surgeon makes in real time. The surgeon can bend and rotate the instruments with precision inside the patients body by sitting on the operating console.

The robotic camera provides a high-definition, 3-dimensional magnified view of the inside of a patients body. It also enables the surgeon to use advance technologies like the Firefly fluorescence imaging, which offers visualization beyond the human eye allowing the surgeon to provide maximal functional outcomes to the patient.

Advantages of the robotic surgery
Compared with traditional open surgery, patients who undergo robotic-assisted surgeries experience:

  • Less blood loss
  • Less pain
  • Shorter hospital stays
  • Faster recovery times

Robotic prostatectomy

The robotic surgical system allows for passing of miniaturized robotic instruments through small incisions in the patient’s abdomen. This allows the surgeon to remove the prostate and nearby tissues with great precision with ability to leave the other vital structures out of the harms way. This is less invasive than a conventional open radical retropubic prostatectomy, which involves an abdominal incision that extends from the navel/umbilicus to the symphysis pubis.

During robotic-assisted radical prostatectomy, a three-dimensional endoscope and image processing equipment are used to provide a magnified view of delicate structures surrounding the prostate gland (e.g., nerves, blood vessels and muscles), allowing optimal preservation of these vital structures. The surgical arms allow the surgeon to make highly precise movements inside the incision during robotic prostate cancer surgery. This means that the malignant tissue can be removed with efficiency and ease unheard of prior to the era of robotic surgery. This greater precision reduces the likelihood of relapse due to missed cancerous tissue.

Thus the robotic prostate cancer surgery system is able to provide superior clinical prostate cancer treatment results when compared to non-robotic traditional and scope-assisted procedures.

Robotic radical cystectomy

A radical cystectomy is a surgery to remove the entire bladder which is usually performed to treat patients with muscle invasive bladder cancer.

In an open radical cystectomy, surgeons remove the entire bladder through a long cut in the lower part of the abdomen. This is associated with large scars, pain, delays in recovery etc.

Robotic cystectomy provider the surgeon with better visualization of the surgical site. As compared to laparoscopy, the robot’s wrists allow for an increased range of motion, which allows the surgery to be performed in a more precise manner. Robotic cystectomy also has the usual benefits of less invasive surgery: Shorter hospital and recovery time. The amount of blood loss is significantly less in robotic cystectomy. The procedure causes less pain and decreased need for narcotic pain medication as compared to open radical surgery. The additional advantage is the minimal scarring of the surgery site

Robotic radical/partial nephrectomy

Radical (total) nephrectomy: During a radical nephrectomy, the uro-oncologist removes the entire kidney. A few additional structures, such as ureter, adrenal gland or lymph nodes may also be removed.

Partial nephrectomy: Partial nephrectomy is also called kidney-sparing surgery. This is a technically demanding procedure that requires complex surgical skills. The surgeon removes the cancerous tissue from a kidney and leaves healthy tissue in place.
The commonest reason to perform a nephrectomy is for treating kidney cancer. In some cases, a nephrectomy is performed to deal with a diseased or seriously damaged kidney. The uro-oncologist surgeon may perform a nephrectomy through a large incision in the abdomen or side (open nephrectomy) or through a series of small incisions in the abdomen using a camera and small instruments (minimally invasive nephrectomy).

Patients may be candidates for robotic partial nephrectomy if they have a reasonably small kidney tumor or when removing the entire kidney could result in kidney failure and the need for dialysis. Because of recent medical breakthroughs, robotic partial nephrectomy is the preferred method of surgical intervention for patients with smaller kidney tumors <4 cm in size. However, tumors between 4 and 7 centimeters can be treated with robotic partial nephrectomy.

Other robotic procedures

Dr Jindal is an expert in robotic groin dissection and a pioneer in the country. The other procedures performed by him include Robotic adrenal surgeries, robotic nephroureterectomies, robotic retro-peritoneal node dissections in testicular tumours, robotic pelvic exenteration, robotic partial cystectomies etc.

Dr Tarun Jindal