Robotic Surgery (Da Vinci Surgery)

Robotic surgery is one of the new innovative areas where surgeons use a robot to perform a surgical procedure. In our practice, we use Da Vinci xi surgical system, which allows us to perform complex surgical procedures through approximately 1cm skin incisions.

You will be under general anaesthesia, as usual. The procedure depends on what we need to do inside of your body. Complex HPB robotic surgery could require a few to ten hours or even more, like open liver or pancreas surgery. We perform surgery with robotic instruments through small holes so that your skin cut can be minimised, which could minimise your postoperative pains. Ultimately you can go home much earlier than the case you had open surgery. The difference could be pronounced if your open surgery requires a large incision.

Picture 1

Picture 1: We are performing robotic pancreas surgery with Da Vinci Xi through 5 small ports, including 4 robotic ports and 1 assistant port. During surgery, various instruments can be used (left bottom corner near a hand). Intraoperative ultrasound (the most right-sided screen) can be performed to obtain accurate and timely information on internal organs during surgery.

• Smaller skin cuts (truly minimally invasive)
• Do not require a long cut on the abdomen
• May go to the surgical ward rather than the intensive care unit
• Quicker recovery times – go home earlier!
• Precision and Accuracy with x15 magnification
• Lesser complications
• Potential better oncological resection (due to magnified view, available technology, and increased dexterity)

We perform various types of robotic surgeries.

General surgical procedures, including,

• Abdominal wall hernia repair
• Inguinal hernia repair
• Cholecystectomy
• Splenectomy
• Exploration (look around the inside of the abdomen)
• Intraabdominal ultrasound (ultrasound from the inside)

Liver surgery

• Liver resection
• Cyst deroof
• Drainage of liver abscess

Pancreas surgery

• Pancreatectomy
• Pancreatoduodenectomy
• Spleen preserving distal pancreatectomy
• Drainage procedure

Gallbladder/Bile duct procedure

• Cholecystectomy
• Bile duct excision/exploration
• Stone removal
• Reconstruction of the biliary tree

Small intestine and stomach

• Small bowel resection
• Gastrectomy
• Appendicectomy