At Virginia Heartburn and Hernia Institute, we are committed to providing superior patient care and being a leader in healthcare excellence and innovation in the communities we serve. We provide a Robotic-Assisted Surgery Program and are using da Vinci® Surgery to expand our range of services to offer another minimally invasive surgical option to patients.
WHAT IS DA VINCI SURGERY?
da Vinci Surgery is a type of minimally invasive surgery where specially trained surgeons use the da Vinci robotic-assisted surgical system to perform a wide range of delicate and complex operations. The da Vinci System features a magnified 3D high-definition vision system and tiny wristed instruments that bend and rotate far greater than the human wrist. As a result, the da Vinci System enables surgeons to
operate with enhanced vision, precision, dexterity and control.
WHAT DOES OUR ROBOTIC-ASSISTED SURGERY PROGRAM OFFER?
The Robotic-Assisted Surgery Program at Inova Alexandria Hospital has a multidisciplinary surgical team. Dr. Lee is specially trained and credentialed to perform robotic-assisted da Vinci Surgery. A dedicated, highly experienced team of anesthesiologists, nurses, assistants and surgical techs are also trained to support each surgeon’s needs during robotic-assisted surgery.
Our da Vinci Robotic-Assisted Surgeries include:
- Hernia surgery
- Anti-reflux surgery
- Adrenalectomy
- Splenectomy
- Gastric surgery
- Pancreatic surgery
- Small Bowel or Colorectal surgery
- Single Site Gallbladder surgery
WHY OUR SURGEONS OFFER DA VINCI® SURGERY
As physicians, our ultimate responsibilities are to our patients. We believe in offering our patients all the treatment and surgical options supported by evidence-based medicine. That includes minimally invasive da Vinci surgery. More than 9,500 peer-reviewed studies and reports examining the use of the da Vinci Surgical System in various procedures have been published. The publications include the following types: randomized studies, systematic reviews, prospective and retrospective comparison studies, single arm studies, literature reviews, case studies, cadaver studies, animal studies and editorials.
KEY POTENTIAL PATIENT BENEFITS OF DA VINCI SURGERY VS. OPEN SURGERY*
- A shorter hospital stay 1-5
- Less blood loss2-4,6
- Fewer complications- 4,7-8
- Less need for narcotic pain medicine 1,7,9-10
- A faster recovery 1-2,11-12
- Smaller incisions associated with minimal scarring 3,6-7
*Potential benefits are specific to the procedure referenced in the footnoted publications.
HOW DOES THE DA VINCI® SURGICAL SYSTEM WORK?
Using the da Vinci Surgical System, surgeons perform delicate and complex operations through a few small incisions. The da Vinci System consists of several key components, including:
- an ergonomically designed console where the surgeon sits while operating
- a patient-side cart with interactive robotic arms
- a 3D HD vision system
- EndoWrist® instruments that bend and rotate far greater than the human wrist
- da Vinci software can scale down surgeon’s movements and minimize the effects of a
surgeon’s hand tremors on instrument movements. As a result, the da Vinci System
enables surgeons to operate with enhanced vision, precision, dexterity and control.
- Park JS, et al. S052: a comparison of robot-assisted, laparoscopic, and open surgery in the treatment of rectal
cancer. Surg Endosc. 2011 Jan;25(1):240-8. Epub 2010 Jun 15 - Poston RS, et al. Comparison of economic and patient outcomes with minimally invasive versus traditional off-
pump coronary artery bypass grafting techniques. Ann Surg. 2008 Oct;248(4):638-46 - Health Information and Quality Authority (HIQA), reporting to the Minister of Health-Ireland. Health technology
assessment of robot-assisted surgery in selected surgical procedures, 21 September 2011 - Landeen LB, et al. Clinical and cost comparisons for hysterectomy via abdominal, standard laparoscopic, vaginal
and robot-assisted approaches. S D Med. 2011 Jun;64(6):197-9, 201, 203 passim - Martino MA, Berger EA, McFetridge JT, et al. A comparison of quality outcome measures in patients having
a hysterectomy for benign disease: robotic vs. non-robotic approaches. J Minim Invasive Gynecol. 2014 May-
Jun;21(3):389-93. Epub 2013 Oct 26. - de Souza AL, et al. A comparison of open and robotic total mesorectal excision for rectal adenocarcinoma. Dis
Colon Rectum. 2011 Mar;54(3):275-82 - Cerfolio RJ, et al. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J
Thorac Cardiovasc Surg. 2011 Oct;142(4):740-6. Epub 2011 Aug 15 - Shaligram A, et al. How does the robot affect outcomes? A retrospective review of open, laparoscopic, and robotic
Heller myotomy for achalasia. Surg Endosc. 2012 Apr;26(4):1047-50. doi: 10.1007/s00464-011-1994-5. Epub 2011 Oct 25 - Lowe MP, et al. A comparison of robot-assisted and traditional radical hysterectomy for early-stage cervical cancer.
Journal of Robotic Surgery 2009:1-5 - Menon M, et al. Prospective comparison of radical retropubic prostatectomy and robot-assisted anatomic
prostatectomy: the Vattikuti Urology Institute experience. Urology. 2002 Nov;60(5):864-8 - Bell MC, et al. Comparison of outcomes and cost for endometrial cancer staging via traditional laparotomy, standard
laparoscopy, and robotic techniques. Gynecologic Oncology III 2008:407-411 - Miller J, et al. Prospective evaluation of short-term impact and recovery of health related quality of life in men
undergoing robotic assisted laparoscopic radical prostatectomy versus open radical prostatectomy. J Urol. 2007
Sep;178(3 Pt 1):854-8; discussion 859. Epub 2007 Jul 16
NOTE: The referenced studies evaluated an Si or earlier model of the da Vinci Surgical System. There
is no clinical data currently available for theda Vinci Xi Surgical System. The da Vinci Xi Surgical
System is not cleared for use in transoral otolaryngology surgical procedures and is not specifically
cleared for use in prostatectomy. It is cleared for use in urologic surgical procedures.
In order to provide benefit and risk information, Intuitive Surgical reviews the highest available level
of evidence on representative da Vinci procedures. Intuitive Surgical strives to provide a complete,
fair and balanced view of the clinical literature. However, our materials should not be seen as a
substitute for a comprehensive literature review for inclusion of all potential outcomes. We encourage
patients and physicians to review the original publications and all availableliterature in order to
make an informed decision. Clinical studies are available at pubmed.gov.
The implementation of a da Vinci® Surgery program is practice- and hospital-specific. Results may vary.
Past customer experience does not imply any guarantee of results in practice or program success.
When considering cost-effectiveness of an advanced technology like the da Vinci System, we
recommend that hospitals perform a full cost-benefit analysis, considering not just the operating room
costs but the costs associated with hospital stays, procedure-related complications and hospital re-
admissions.
Unless otherwise noted, all people depicted are models. Product names are trademarks or registered
trademarks of their respective holders. PN 1016560 rev A 5/1