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MICHIGAN ONCOLOGY AND CANCER CARE
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OF THE MEDICAL REPORT
Richard Sarle, MD
St. Joseph Mercy Oakland

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THE FACTS ABOUT da Vinci® Prostatectomy

Background

The da Vinci® consists of an ergonomically designed surgeon’s console, a patient-side cart with four interactive robotic arms and technologically advanced vision system and instruments.

Podcast Posted: 11/17/2008
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During a procedure, the surgeon operates while seated comfortably at a console viewing a 3D image of the surgical field. The surgeon’s fingers grasp the master controls below the display, with hands and wrists naturally positioned relative to his or her eyes. The system seamlessly translates the surgeon’s hand, wrist and finger movements into precise, real-time movements of surgical instruments inside the patient.

“The da Vinci® is a powerful tool that we are proud to offer to our patients,” says Dr. Richard Sarle, M.D., a urologist at St. Joseph Mercy Oakland. “da Vinci® gives surgeons precision that has never before been available. Additionally, patients no longer have the large scars that they would have with traditional surgery as procedures performed with the da Vinci® are done so minimally invasively.”

ADVANTAGES
The da Vinci® will have many benefits for the surgeons who use it in delicate procedures and for the patients they treat. First, the da Vinci® will provide an extension of the surgeon’s eyes and hands in the surgical field. It offers more than twice the viewing resolution and 20 percent more viewing area, which means improved clarity and detail of tissue planes and anatomy. Surgeons who employ the da Vinci® will find that many standard laparoscopic techniques may be performed more quickly and easily using this new system.

At the same time, the da Vinci® will enhance the surgeon’s capabilities and improve clinical outcomes. Much like the minimally invasive procedures currently in use at SJMO, those performed with the aid of the da Vinci® will provide patients with similar benefits, including reduced trauma to the body, reduced blood loss and pain, less risk of infection, a shorter hospital stay and a faster recovery.


THE PROCEDURE
A prostatectomy procedure begins by inflating the patient’s abdomen with carbon dioxide gas, creating an operating space. Next, six small incisions, 1/4 to 1/2 inch in length, are made in the patient’s abdomen and ports are inserted to keep the incisions open.

The surgeon then uses laparoscopic surgical instruments and a video camera, via the temporary ports, to direct the dissection of the prostate gland and adjacent tissue. If deemed appropriate, the surgeon tries to preserve the nerves attached to the patient’s prostate gland. At the end of the surgery, the ports are removed from the patient’s abdomen and the remaining incisions are closed with sutures.

Patients will generally spend one night in the hospital and the following week resting and recovering. There will be follow up appointments where patients can speak with their physician regarding any pain, incontinence or erectile dysfunction.

REFERRAL
Please contact the SJMO referral line at 800.372.6094 for a physician near you.

Information provided by da Vinci Prostatectomy

 

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MICHIGAN ONCOLOGY
 
 
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