Robot-assisted surgery responds to the trend of reducing the invasiveness of surgical procedures.
Since 2018, the Da Vinci Xi operating robot has been available at the Motol University Hospital.
The device consists of a four-arm system, an instrument tower and a console - the operator's workplace. The console is located in the operating room outside the operating table. A computer-controlled device enters between the surgeon and the patient, which greatly simplifies the procedure. The most important is the patient part, which is the four arms into which the instruments and the camera are inserted. The da Vinci system uses 3D display in HD quality at multiple magnifications. The advantage over conventional laparoscopy is also the fact that the position of the camera is controlled directly by the surgeon.
Ports are inserted into the patient's body, compared to laparoscopy, the instruments allow movements in different angles and planes inside the patient's body. The range of motion is greater than what the human hand alone can do in open surgery. The device eliminates the human factor such as hand tremors. The surgeon controls the ends of the instruments inserted into the patient's body via highly sensitive joysticks strung on individual fingers. It also has several pedals that activate different parts of the device. An assistant stands by the patient's body and changes the instruments during the procedure. The technology is mainly used for urological, gynecological, cardiosurgical and ENT procedures. The most frequently performed surgical procedure is radical prostatectomy for prostate cancer, rectal resection and hysterectomy.
The rectal robotic surgery program was launched at the clinic in June 2018 and 25 rectal resections were performed. From the beginning of 2020, we plan to launch the Robotic Lung and Thymic Surgery Program.