Robotic Surgery

Robotic Surgery at Vivanta – The Kidney & Surgical Hospital

At Vivanta – The Kidney & Surgical Hospital, we are dedicated to providing the most advanced surgical options available globally. Our Robotic-Assisted Surgery program represents the pinnacle of minimally invasive technology, combining the expertise of our fellowship-trained urological surgeons with the unparalleled precision, dexterity and visualization of a state-of-the-art robotic system. This revolutionary approach allows us to perform complex procedures through tiny, keyhole incisions, setting a new standard for patient safety, superior functional outcomes and remarkably rapid recovery in kidney and urology care.

Understanding Our Robotic Technology

It is important to understand that the robotic system is a sophisticated tool—an extension of our surgeon’s hands and eyes. The surgeon remains in complete control throughout the entire procedure, operating from a specialized console.

The system provides several technological enhancements over traditional surgery:

• High-Definition 3D Vision: The surgeon views the operative field through a specialized console, which provides an immersive, magnified 3D view (up to 10x magnification). This offers unmatched depth perception and clarity, which is crucial when operating near delicate structures.

• Enhanced Dexterity and Range of Motion: The miniature instruments on the robotic arms possess EndoWrist technology. These instruments can bend and rotate with far greater range of motion than the human wrist. This enhanced dexterity allows for extremely fine dissection and precise, intricate suturing in the body’s most delicate and confined anatomical spaces.

• Tremor Elimination: The system digitally filters out any natural hand tremors from the surgeon’s movements, ensuring absolute steadiness and precision at all times.

Unrivaled Benefits of Robotic Surgery for Patients

For complex urological and kidney procedures, robotic assistance offers distinct and significant advantages over both traditional open surgery and standard laparoscopy. These benefits translate directly into a better experience and faster return to health for our patients:

• Micro-Precision and Superior Outcomes: The combination of 3D vision and precise instruments enables the surgeon to navigate complex anatomy with unmatched accuracy. This is critical for nerve-sparing procedures, significantly improving the potential for preserving important functions like urinary control and sexual function.

• Minimally Invasive Access: The surgery is performed through several small, keyhole incisions (typically less than $1$ centimeter), avoiding the need for large, painful surgical cuts.

• Reduced Blood Loss and Transfusion Risk: Enhanced visualization and precise dissection minimize trauma to tissues and blood vessels, resulting in significantly less blood loss during the procedure.

• Faster and More Comfortable Recovery: Less trauma to the abdominal wall and internal tissues leads to significantly shorter hospital stays (often just 1-2 days) and dramatically reduced post-operative pain. Patients experience a much quicker return to their normal daily activities and work.

• Minimized Scarring: The small incision size results in minimal, less noticeable scarring, offering an excellent cosmetic outcome.

Advanced Applications in Kidney & Urology

Robotic surgery has revolutionized the treatment of complex conditions and has become the preferred approach for many key procedures at Vivanta:

• Robotic Radical Prostatectomy: This is the gold standard surgical approach for localized prostate cancer. The robot allows for the most precise removal of the cancerous prostate while meticulously sparing the delicate nerves and muscles vital for functional recovery.

• Robotic Partial Nephrectomy: Used to treat small, localized kidney tumors. This is a crucial kidney-sparing procedure. The robot’s precision allows the surgeon to remove only the tumor while preserving the maximum amount of healthy kidney tissue. The rapid, precise suturing capability minimizes the time the kidney’s blood supply must be interrupted, protecting long-term kidney function.

• Robotic Pyeloplasty: This procedure corrects blockages between the kidney and the ureter (UPJ obstruction). The robot’s fine instruments make the delicate reconstruction and reconnection of the ureter highly accurate and effective in restoring proper urine flow.

• Robotic Radical Cystectomy and Diversion: For invasive bladder cancer, the complete removal of the bladder, complex removal of lymph nodes and the creation of a new urine pathway (such as a neobladder or conduit) can be performed entirely with robotic assistance.

• Robotic Ureteral Reconstruction: Used to correct complex strictures, injuries or severe Vesicoureteral Reflux (VUR). The advanced suturing makes re-connecting damaged ureters a highly accurate and minimally invasive task.

Why Entrust Your Care to Vivanta’s Robotic Program?

Choosing a facility for robotic surgery means choosing experience and technology. At Vivanta:

• Trained Experts: Our urology surgeons are certified and fellowship-trained in robotic surgical platforms, performing a high volume of complex urological and reconstructive cases.

• Integrated Surgical Team: The entire operating room team, from the anesthesiologist to the nursing staff, is specifically trained and dedicated to supporting high-level robotic procedures.

• Commitment to Functional Results: Our priority is not only to treat the disease but also to maximize the preservation of vital functions, ensuring the best possible quality of life post-surgery.

When facing complex kidney or urological surgery, the difference between good and excellent long-term outcomes often lies in precision. Trust the advanced technology and expert hands at Vivanta to provide you with the next generation of surgical care.