Robotic Oncology. David B. Samadi M.D. Chief, Division Of Robotics And Minimal Invasive Surgery Mount Sinai School Of Medicine
Computer 3-D Visualization - The robotic prostate surgery system gives surgeons the feeling that their hands are immersed in the patient’s body, even though they are performing the surgery remotely. All movements of the surgeon’s hands are micro-scaled by the da Vinci robot. As a result, the surgeon feels completely connected to surgery. Robotic prostate surgery provides a much brighter and sharper image than the human eye, or any other 3-D laparoscopic prostatectomy endoscope. The robotic prostate surgery system incorporates a proprietary camera that allows the surgeon to easily zoom, rotate, or change the image visualization. The resulting 3-D image is bright and clear, with no flicker as with other laparoscopic systems. Robotic hand simulation and 3-D visualization make the da Vinci robotic prostate surgery more advanced than other minimally invasive surgical procedures currently available.
Precise Robotic Prostate Surgery - Using the da Vinci System for robotic prostate surgery, the surgeon can use “motion scaling,” a feature that translates small hand movements outside the patient’s body into precise movements inside the body. The surgeon controls the robotic prostate surgery robotic arms from the da Vinci console using natural hand and wrist movements. Motion scaling during robotic prostate surgery is designed to allow greater precision than is normally achievable in open and laparoscopic prostatectomy surgery. Indeed, conventional laparoscopic instruments provide surgeons less flexibility, dexterity and range of motion. Proprietary instruments called EndoWrist and enhanced range-of-motion of robotic arms enable surgeons to reach difficult places and to operate safely in the confined space of the closed chest, abdomen, or pelvis. Laparoscopic instruments in use today do not replicate hand movements and cannot perform precise movement and manipulations need for robotic prostate surgery, such as reaching behind tissues, suturing, and dissection. The system also filters out unpredictable movements and tremors inherent in human hands.
Using Robotic Prostate Surgery – During a robotic prostate surgery procedure, the patient side cart is positioned next to the operating table with the da Vinci robotic arms arranged to provide entry points into the human body and prostate. EndoWrist instruments, and the da Vinci Insite Vision System, are mounted onto the robot’s electromechanical arms representing the surgeon’s left and right hands. They provide the functionality to perform complex tissue manipulation through the entry points, or ports. EndoWrist instruments include forceps, scissors, electrocautery, scalpels and other surgical tools. If the surgeon needs to change an Endowrist instrument, common during robotic prostate surgery, the instrument is withdrawn from the surgical system using controls at the console. Typically, an operating room nurse standing near the patient physically removes the EndoWrist instruments and replaces them with new instruments.
Surgeon Console - The surgeon performs the robotic prostate surgery while sitting at the console, manipulating the hand controls and viewing the operation live through the da Vinci Insite Vision System. This is more comfortable for the surgeon and reduces operating fatigue, a known hindrance in open surgery. The robotic prostate surgery is completed with the removal of the da Vinci instruments and closure of the small incisions in the abdomen with sutures.
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This is not a paid endorsement, even though it’s going to sound like one. This is just a true account of my experiences with the amazing Dr. David B. Samadi and his incredible staff in the time leading up to and following my recent robotic prostate removal surgery.
more.."We interviewed 4 surgeons and 3 radiation oncologists, and decided on robotic surgery and Dr. Samadi. A urology oncologist with years of experience in open and laparoscopic prostatectomy surgery, Dr. Samadi’s extensive experience with robotic surgery made him our first choice."
more.."I was lucky to find Dr. David Samadi: a patient, caring, gifted healer who surpassed all my expectations. He has earned my deepest respect and gratitude, and I recommend him unconditionally..."
more..“On post-op day 10, my father went to the US Tennis Open by himself and on day 12, he took a transatlantic flight home to Romania. One and two months after surgery, his PSA was 0..”
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