NoBlood

Cabell Huntington Hospital to Offer Advanced Robotic Surgery
http://www.huntingtonnews.net/local/...staff-chh.html

By HNN Staff

Huntington, WV (HNN) – Cabell Huntington Hospital is the first hospital in the Huntington area and the only medical facility within a 120-mile radius to acquire the da Vinci Surgical System, a state-of-the-art robotic platform designed to enable complex minimally invasive surgery with greater precision.

With the September 2006 arrival of a new urologist highly experienced in the use of the da Vinci Surgical System, the hospital will initially utilize this technology for robotic prostatectomy, a procedure that offers prostate cancer patients significant benefits over traditional open prostatectomy. Over time, use of the system will be expanded to include general surgical and gynecologic applications.

Performed through five small incisions in the abdomen, robotic prostatectomy generally results in shorter hospital stays, less pain, less risk of infection, faster recoveries and more complete eradication of cancer than traditional prostate surgery. Because the da Vinci System allows for greater visualization, increased range of motion and enhanced precision, surgeons are better able to identify and avoid muscles and nerves that control sexual function and urination, greatly reducing the risk of impotence and incontinence. Patients who undergo robotic prostatectomy also tend to experience less blood loss and require less anesthesia.

“The advantages of robotic surgery are enormous for patients with prostate cancer,� said Louis R. Molina, MD, a urologist with University Urological Associates and Marshall University Joan C. Edwards School of Medicine. “This is a significant milestone in terms of surgical advancement in the Huntington area, cancer treatment and improved quality of life for our patients. No longer will these patients be required to travel long distances to receive the most advanced care and treatment available.�

Molina said University Urological Associates will soon announce the recruitment of a new urologist who has performed several hundred robotic prostatectomies with the da Vinci Surgical System. World-wide, thousands of robotic prostatectomies are performed each year. Approximately 40 percent of all prostate surgeries in the United States are now performed with the aid of a surgical robot.

The da Vinci Surgical System provides the surgeon with four robotic arms to operate and allows for the surgeon’s hand movements to be scaled, filtered and translated into precise movements of micro-instruments within the surgical site. Although the general term “robotic surgery� is used to refer to this technology, the system cannot operate or make decisions on its own. Instead, the system, with instrument tips that can rotate like the human wrist, is designed to seamlessly replicate the movement of the surgeon’s hands in real time, dramatically improving dexterity and control.

With the da Vinci Surgical system, the surgeon operates from a comfortable, seated position at a 3D stereo viewer console that visualizes the target anatomy at high magnification, in brilliant color and with natural depth of field. To perform a procedure, the surgeon uses the console’s master controls to maneuver the patient-side cart’s four robotic arms, which securely hold the micro-instruments and endoscopic camera. To move the instruments or to reposition the camera, the surgeon simply moves his/her hands. Built-in safety features reduce hand trembling and opportunities for human error.

In 2000, the da Vinci Surgical System became the first robotic surgical platform commercially available in the United States to be cleared by the FDA for use in general laparoscopic surgery.