Case Study about Robotic Surgery

First-of-its-kind successful Robotic Surgery performed on a 10-year-old boy:

Indraprastha Apollo Hospitals, New Delhi on 31 July, 2014 organized a press briefing to announce successful completion of first-of-its-kind robotic surgery of a 10-year old boy from Jharkhand who suffered from a collapsed vertebra.

This is for the first time that Robotic Surgery has been performed for this particular condition and the child was the first to undergo this procedure.

Ten-year-old-boy, Shivam, who had a collapsed vertebra at the mid-chest level leading to compression of the spinal cord along with a large collection of pus in that area, was subjected to Robotic Surgery.

The boy, who was initially diagnosed with Tuberculosis, was transferred to Apollo Hospitals later for the latest treatment options. Dr. Rajendra Prasad, Senior Consultant-Neurosurgery and Dr. Arun Prasad, Senior Consultant-Minimal Access Surgery, after reviewing the case suggested Robotic Surgery as the best treatment option.

The surgery was performed on the 15th of July. The procedure took about two hours and went very well. Once the boy recovered from the procedure, the vertebrae were fixed a week later so as to enable early mobilization.

Apollo Hospitals has always been at the forefront of adopting new technologies for better patient care. With its fully equipped, world class OT’s and the addition of the Da Vinci Surgical technology has augmented the continuous effort of Apollo to bring the best clinical outcomes for the patients.

The Apollo Institute of Robotic surgery has performed 316 successful surgeries till date in the disciplines of Urology, Paediatrics, Gynaecology, Gastroenterology and Colorectal, Bariatric, and General Surgery.

Robotic Technology adds to better patient management by providing surgeons with superior visualization, enhanced dexterity, and greater precision and ergonomic comfort. Since surgeons no longer need to stand throughout the surgery, they don’t get unduly tired. Natural hand tremors are also filtered out by the robot’s computer software.

Facilities of Robotic Surgery at Indraprastha Apollo Hospitals Delhi, India

State-of-the-art operating theatres are equipped with the Da Vinci Si surgical system, the most advanced platform for minimally invasive surgery available today.

The four armed surgical robotic system is a breakthrough in surgical capabilities across the key specialties of Cardiology, Neurology, Nephrology, Urology and Gynecology at Apollo Hospitals.

 

The da Vinci Si Surgical system: Advantages

·         3D high definition vision Up to ten times magnification

·         An immersive view of the surgical field through tiny incisions of 1cm to 2 cm

·         EndoWrist Instruments with seven degrees of freedom for range of motion far greater than the human hand with reduction of hand tremor

·         Enhanced dexterity

·         Greater accuracy

·         Complex surgical manoeuvres made easier through smaller ports

·         Minimises patient trauma even in confined spaces of the chest, abdomen or pelvis

·         The only system that allows surgeons to operate while seated

·         Better ergonomics than traditional open and laparoscopic surgery

·         Natural hand-eye positioning

·         Reduced surgeon fatigue

·         Improved surgical capabilities

Four robotic arms with added mechanical strength makes minimally invasive approach possible even for high BMI patients

Treatment and Services of Apollo Institute of Robotic Surgery

Gynaecology Surgery

Benign Procedures

        Hysterectomy

·         Total Hysterectomy

·         Total Hysterectomy with Bilateral Salpingo-Oophorectomy

·         Subtotal Hysterectomy

Myomectomy

·         Single fibroid

·         Multiple fibroids

Metroplasty

·         Unification of two uterine cavities

Tubal

·         Adhesiolysis

·         Adnexectomy

·         Recanalisation

·         Tubotubal anastomosis

·         Cornual Implantation

Ovarian

·         Cystectomy

·         Adhesiolysis

Endometriosis for mild to moderate disease

·         Resection of Endometriosis

·         Bladder Endometriosis

·         Ureteric Endometriosis

Sacrocolpopexy

 

Cancer Surgery

·         Radical Hysterectomy with Pelvic Lymph Node Dissection

·         Modified Radical Hysterectomy with Lymph Node Sampling

·         Pelvic Lymphadenectomy

·         Omentectomy

·         Para-aortic Lymph Node Sampling

·         Revision Surgery

 

Cardiothoracic Surgery Procedures

Valvular

·         Mitral Valve Repair

·         Mitral Valve Replacement

·         Double Valve Surgery

Coronary Artery Disease

·         Mammary to LAD Graft

 

Gastrointestinal Surgery

·         Cholecystectomy

·         Inguinal Hernia Repair

·         Pancreatic Surgery

·         Gastrectomy

·         Adrenalectomy

·         Splenectomy

·         Colectomy

·         Fundoplication

·         Anterior Resection

·         Abdomino-Perineal Resection

·         Oesophaegectomy

 

Bariatric Surgery

·         Sleeve Gastrectomy

·         Gastric Bypass

 

Thoracic Surgery

·         Thymectomy

·         Mediastinal surgery

·         Lung surgery

·         Sympathectomy

 

Urologic Surgery

Benign Procedures

·         Nephrectomy

·         Partial Nephrectomy

·         Pyeloplasty

·         Prostatectomy

·         Ureteric Re-implants

·         Uretero-Ureteric Anastomosis

 

Cancer Surgery

·         Bladder - Radical Cystectomy

·         Prostate - Radical Prostatectomy

 

Colorectal Surgery

·         Hemicolectomy

·         Abdomino-perineal Resection

·         Surgery for Ulcerative Colitis

Lower Anterior Resection

Institute of Robotic Surgery at Indraprastha Apollo Hospitals Delhi, India

Robotic Surgery is fast gaining ground all over the world as the preferred mode of surgery. Apart from the clear advantages like higher patient comfort and safety, it also helps significantly cut down the length of stay at hospital.

Apollo Hospitals has been at the forefront of adopting new technologies for better patient care. With its fully equipped, world class OT's, addition of Robotic technology has augmented the continuous effort of Apollo to bring best clinical outcomes for the patient.

Apollo Hospitals has established the Apollo Institute of Robotic Surgery in collaboration with the Vattikuti Foundation of Michigan, USA. This multi-speciality, multi-modality Institute will offer Robot Assisted Surgeries of world class standards at costs which are just a fraction of what is charged in hospitals in advanced nations.

Considering the benefits, we do expect a sizeable patient flow to the Institute right from the beginning. To ensure that we have enough quality manpower, we have planned for extensive sessions to train surgeons to perform simple to complex surgical procedures using the most advanced robotic systems.