Robotic Laparoscopic Surgery: A minimally invasive advanced technique
The Clinique Générale-Beaulieu is a Geneva pioneer in robotic laparoscopic surgery. By January 2003, it was already equipped with the da Vinci® Intuitive Surgical System. In late 2011, having gained solid experience in using the system through 1’000 procedures, including 500 radical prostatectomies (dVP), the clinic acquired the latest generation of the robot, the da Vinci ® Si HD.
Thanks to the full high-definition three-dimensional views provided by the endoscopic cameras and the millimetre precision of the instruments, this minimally invasive technique offers many advantages for both patient and the surgeon.
For the patient
- Increased safety
- Better functional results
- Reduced bleeding
- Fewer injections
- Less postoperative pain
- Shorter hospitals stays and recovery
For the surgeon
- Three-dimensional views
- Ease of access to difficult surgical sites
- Accuracy of surgical motions (the instrument rotate about 6 axes)
- Better work ergonomics
Use in Urology
The clinic’s urologists are the forefront of technology. In March 1999, they did Switzerland’s first prostatectomies (keyhole method). On January 8, 2003 they undertook their first robotic surgery for prostate cancer. They have continued to hone their skills then.
Today in the US, more than 80%of the patients who have surgery prostate cancer are operated on using this system, compared to 0.5% in 2003. The excellent views and accuracy made possible by the robot allow experienced teams to perform prostatectomies (dVP) of very high quality, especially from a functional standpoint (incontinence and erectile dysfunction).
Also used in urology for :
- Nephrectomy (partial or total)
- Reconstruction of kidneys malformations
- Ablation of complex stones
- Urogenital prolapse
- Microsurgery for male infertility
Use in Abdominal Surgery
The clinic is fitted out with the most sophisticated equipment for endoscopic surgery. Its surgeons, on the leading edge of progress, now perform endoscopic operations through a single opening – SILS or LESS.
Robotic laparoscopic surgery is successfully used for gastric resections in benign conditions and for malignant stomach tumours. The da Vinci® robot is ideal for treating gastroesophageal reflux due to a hiatal hernia. In obese patients, gastric banding and gastric bypass are excellent indications.
The robot is especially useful for resectioning the colon for cancer and also benign conditions (Crohn’s disease, diverticular disease) and pelvic floor problems.
Use in Gynaecologic Surgery
For over century, gynaecologic surgery was performed as “open” surgery. The development of laparoscopic surgery in the 1980s was revolutionary and the advent of robotic surgery undoubtly marks a second revolution.
In gynaecology the robot is used for :
- In some operations for pelvic cancer
- Treatment of pelvic endometriosis
- Myomectomies (removal of uterine fibromas)
- Infertility surgery to re-open the Fallopian tubes
- Some types of ovarian cysts
- Correction of prolapse of the pelvic organs
When asked about their impressions of robotic laparoscopic surgery, the surgeons are unanimous in their praise of the technical skill developed through use of the robot and the resulting ease and accuracy the machine imparts, allowing them to improve their own dexterity.
· Allergy investigations
· Cardiology (non-invasive)
· Diabetes - Endocrinology
· Rheumatic disorders
· Digestive & Laparoscopy
· Ear, nose and throat
· Hand surgery
· Jaw and dental surgery
· Orthopaedics and trauma
· Plastic surgery
· Thoracic surgery