Robotic surgery

Robotic surgery is a method to perform surgery using very small tools attached to a robotic arm. The surgeon controls the robotic arm with a computer. Robotic surgery is currently carried out with the use of the "da Vinci surgical system", is the first robotic surgery system approved by the FDA for general laparoscopic surgery. This was the first time the FDA approved an all-encompassing system of surgical instruments and camera/scopic utensils. It is a unique set of technologies that include specialized “arms” for holding instruments and a camera, as well as a magnified screen and a console.

The main object of such smart instruments is to reduce or eliminate the tissue trauma traditionally associated with open surgery without requiring more than a few minutes training on the part of surgeons.Robotic surgery has been criticized for its expense, by one estimate costing $1,500 to $2000 more per patient.

 Its predecessors relied upon the use of endoscopes and numerous surgical assistants to perform surgery. The da Vinci robotic surgery system’s three-dimensional magnification screen allows the surgeon to view the operative area with the clarity of high resolution. The one-centimeter diameter surgical arms represent a significant advancement in robotic surgery from the early, large-armed systems such as the PUMA 560. With such miniaturized operating arms, the da Vinci robotic surgery system removes the need to leverage the sides of the incision walls. This advancement allows for less contact between exposed interior tissue and the surgical device, greatly reducing the risk of infection.
The da Vinci’s fourth arm contains a magnified high-definition 3-D camera that guides the surgeon during the procedure.  The “Endo-wrist” features of the operating arms precisely replicate the skilled movements of the surgeon at the controls, improving accuracy in small operating spaces.

robotic surgery procedures in the following areas:
1. General non-cardiovascular thoracoscopic surgeries
2.  Urological surgeries
3. General laparoscopic surgeries
4. Thoracoscopically-assisted cardiotomy procedures

How Does the Robotic Surgical System Work?
 To operate using the Robotic system, your surgeon makes tiny incisions in your body and inserts miniaturized instruments and a high-definition three-dimensional camera, and sometimes skin incisions are not required at all. Then, from a nearby console, your surgeon manipulates those instruments to perform the operation.
 Robotic surgery  system is just like a video game. When you play a video game, you move a control button, and the machine translates your movements into real-time, mimicking your moves precisely on the screen. During a Robotic-assisted procedure, your surgeon uses master controls to manipulate the instruments, and the instruments translate your surgeon’s movements into precise movements inside your body.

The surgeon controls these instruments and the camera from a console located in the operating room. Placing his fingers into the master controls, he is able to operate all four arms of the da Vinci simultaneously while looking through a stereoscopic high-definition monitor that literally places him inside the patient, giving him a better, more detailed 3-D view of the operating site than the human eye can provide. Every movement he makes with the master controls is replicated precisely by the robot. The surgeon can even change the scale of the robot’s movements if necessary. If he selects a three-to-one scale, the tip of the robot’s arm will move just one inch for every three inches the surgeon’s hand moves. And because of the console’s design, the surgeon’s eyes and hands are always perfectly aligned with his view of the surgical site, minimizing surgeon fatigue.

Advantage of Robotic Surgery
There are many benefits to having a Robotic-assisted surgery. It help surgeon to have better visualization leading to a more precise surgery. It enhances precision, flexibility and control during the operation and allows them to better see the site, compared with traditional techniques. Using robotic surgery, surgeons can perform delicate and complex procedures that may have been difficult or impossible with other methods. Other benefits are:
 1.A Robotic-assisted surgery benefits you directly shorter recovery time
 2.Your surgeon has greater range of motion and dexterity
 3.Your surgeon sees a highly-magnified, high-resolution image of the operating field
4.Your surgeon has better access to the area being operated on
5.Shorter hospital stay
6.Less blood loss and fewer blood transfusions
7.Less risk of infection
8.Faster recovery
9.Less pain
10.Quicker return to daily routine

In conclusion,Robotic or Robot-assisted surgery integrates advanced computer technology with the experience of the skilled surgeons. This technology provides the surgeon with a 10x magnified, high-definition, 3D-image of the body's intricate anatomy. Because robotic surgery is at the cutting edge of precision and miniaturization in the realm of surgery, the possible applications are as extensive as the uses of minimally invasive surgery. Robotic surgery has already become a successful option in neurological, urological, gynecological, cardiothoracic, and numerous general surgical procedures. Intuitive Surgical, makers of the da Vinci robotic surgery system, have released upgrades in the number of operating arms, eliminating the need for one surgical assistant, which may expand its clinical applications.
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