When Dr. Amir Abolhoda recently performed robot-assisted
The minimally invasive procedure successfully removed a cancerous lobe from the
The result was maximum precision with minimal pain, and a phenomenally quick recovery time.
"The patient was able to leave the hospital in two days," Abolhoda said.
"Single-incision robotic surgery is still in its infancy," City of Hope surgeon Clayton Lau said. "However, in the future, robotics will probably use multiple arms to go through one port."
A cut above
Whereas robotics such as the revolutionary da Vinci system help surgeons precisely target malignant masses and reduce complications,
An entirely noninvasive alternative to surgery, CyberKnife targets various forms of cancer by delivering high doses of radiation to tumors with pinpoint accuracy, sparing healthy tissue.
An effective option for a variety of complex cancers including
If surgery is required, intraoperative
Exciting advancements in post-operative treatments and cancer
“Brain tumors evade the
State of the art
Launched just 10 years ago, the pioneering da Vinci Surgical System was first used exclusively for prostate surgery, but now assists in procedures to remove many types of cancer, including head and
It’s a perfect collaboration of surgical skill and the latest technology. Surgeons guide the procedure while viewing a high-resolution 3-D image of the surgical site through a camera. Miniaturized instruments — inserted into the body through small incisions — are controlled by robotic arms operated by the surgeon’s hand movements.
"Our da Vinci system allows surgeons to sit aside the patient at computer consoles and perform procedures by a remote process that employs highly detailed imaging and a high degree of precision," said Dr. Timothy Wilson, head of the urology department at City of Hope. "It's much less invasive than traditional surgery, with lower risk of infection and less blood loss."
City of Hope and the developers of the da Vinci system,
For example, before removing a kidney tumor, the indocyanine green lights up the normal kidney tissue as well as blood vessels that feed it with a bright green glow, dramatically isolating the dark tumor.
"The fluorescent imaging allows for real-time identification of the blood vessels feeding the kidney, and we are able to clamp off only a segmental artery to the kidney tumor," said Dr. David Josephson, director of urologic surgery at City of Hope. "This allows us to perform a meticulous and precise dissection of the tumor without restricting blood flow to the kidney, so we avoid any long-term damage to the healthy tissue."
The newest generation of robotics, the da Vinci Si HD, allows two surgeons to work together on separate consoles, able to switch control from one to the other at any time during complex procedures. It can be a highly effective training tool for less-experienced surgeons, Wilson said.
"An experienced surgeon can direct a newcomer from a separate console," Wilson said. "Our da Vinci technology even allows [the experienced surgeon] to sit at a PC in his office and show the other surgeon exactly where to cut by tracing the outline on the monitor screen."