Outpatient Surgery Magazine

Helping Hand - July 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 41 of 128

cessfully done bariatric procedures, gallbladders, different types of hernias, appendectomies — bread-and-butter stuff. Just as minimally invasive laparoscopy became a preferred option versus open surgery, robot-assistance is taking us to the next level of care. The Senhance robotic system simply builds upon and refines the foundation of laparoscopy. With laparoscopy, surgeons take handheld instruments and, through the use of trocars, insert them (instead of our hands) into the body. We manipulate the instruments and do the operation — dissection, vessel sealing, and so on. The robot adds a digital interface. We're still putting instruments into the patient, but the way I control them is a bit different. To me, robots give you several advantages over manual laparoscopy: • Ergonomics. It's easy to forget the physical toll laparoscopy can take on a surgeon. Using the robot for prolonged cases is far less fatiguing. You're sitting at a console, in a chair, instead of standing at the patient's bedside. • Visualization. The more visual information available to the sur- geon, the better and faster the procedure will go. With traditional laparoscopy, you have a 2-dimensional image on the screen. With the Senhance, I see a 3D image through a pair of wraparound glasses. This has huge advantages when you're doing dissection. Because I can see things like the gallbladder or hernia in 3D, I get the depth per- ception needed to make fine movements. • Refinement of techniques. The digital interface of the robot trans- lates your motions and cleans them up a bit. It removes tremors and vibrations that could potentially affect outcomes. • Theoretical advantages. In traditional laparoscopy, we torque against the patient's abdominal wall, and move the instruments around as we see fit. With the robot, the instrument deploys less torque, which reduces patient discomfort. 4 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 1 9

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