ROBOTIC SURGERY

WHAT IS ROBOTIC SURGERY?
Robotic or Robot-assisted surgery integrates advanced computer technology with the experience of the skilled surgeons. This technology provides the surgeon with a 10x magnified, high-definition, 3D-image of the body's intricate anatomy.
The surgeon uses controls in the console to manipulate special surgical instruments that are smaller, as well as more flexible and manoeuvrable than the human hand. The robot replicates the surgeon's hand movements, while minimizing hand tremors. The surgeon thus can operate with enhanced precision, dexterity and control even during the most complex procedures

ROBOTIC SYSTEM
You've just been diagnosed with a condition requiring surgery. Until very recently your options included traditional surgery with a large open incision or laparoscopy, which uses small incisions but is typically limited to very simple procedures.
Thanks to a breakthrough in surgical technology, there is a new category of minimally invasive surgery for which you may be a candidate. It is an effective, minimally invasive alternative to both open surgery and laparoscopy. Through the use of the da Vinci® Surgical System, surgeons will now offer a minimally invasive option for complex surgical procedures.
Imagine a major surgery performed through the smallest of incisions and encompassing the benefits of a definitive treatment with radically less pain, a shorter hospital stay, faster recovery and return to normal activities.

Treatments
Urology

• Prostate, Bladder & Kidney Cancer
• Ureteropelvic Junction Obstruction
• Congenital Defects
• Vesico-Ureteric Reflux Disease

Gynaecology

• Multiple Fibroids
• Uterine and Cervical Cancer
• Uterine and Vaginal Prolapse
• Endometriosis
• Vesico-Vaginal Fistula
• Ovarian Cyst

Cardiology

• Atrial Septal Defects
• Mitral and Aortic Valve Disease
• Coronary Artery Disease

Gastroenterology and Hepatology

• Liver Disease
• Colon and Rectal Cancer
• Obesity & Metabolic Disorders
• Gastric Cancer
• Esophageal disorders

Advantages

• Faster Recovery
• Reduced hospital stay
• Reduced risk of wound infection
• Minimal blood loss during surgery
• Less visible scars
• Long term weight loss
• Resolution of Co Morbidities
• Better cancer control
• Less damage to healthy tissue
• Faster return to continence
• Faster recovery of sexual function

RENAISSANCETM ROBOTIC SURGICAL SYSTEM
Overview
The RenaissanceTM Robotic Surgical System transforms spine surgery from freehand procedures to highly-accurate, state-of-the-art robotic procedures, with less radiation and is used for procedures including minimally invasive surgery (MIS), scoliosis, and other complex spinal deformities. It is a minimally invasive robotic guided spine surgerysystem.

The RenaissanceTM Robotic Technology is the only technology specifically designed for spine surgery and the Apollo Hospitals Group is the first in the Asia-Pacific to offer this surgical guidance system, which is a minimally-invasive robotic-guided spine surgery.

Why Robotics?
Robotics and minimally-invasive surgeries have been a strong focus for Apollo Hospital in recent years. This is because we believe in providing the best medical technologies for our patients. Once we recognized the positive impact that Spinal Robotics would have on patient outcomes, the decision was easy to bring in this technical marvel to India. The Spinal Robotics will offer precision, accuracy and minimally-invasive spinal surgery and will be of immense benefit to patients.

Clinical Applications
This system can be used for a variety of clinical procedures including :

• Open, MIS [Minimally invasive], and percutaneous posterior thoracolumbar approaches
• Scoliosis and other complex spinal deformities
• Pedicle screws - short and long fusions
• Transfacet screws and translaminar-facet screws
• Osteotomies
• Biopsies
• Single Vessel / Multi vessel Small Thoracotomy

Advantages

• Higher accuracy
• Lower radiation
• Fast learning curve

Conventional, freehand MIS presents many challenges. According to literature, in freehand surgery there are instances of misplaced pedicle screws and high levels of radiation are required for intraoperative imaging to assure accuracy. RenaissanceTM Robotics' state-of-the-art technology overcomes these challenges thus redefining the standard of care for MIS.
RenaissanceTM Robotics Technology has been successfully used in the placement of over 20,000 implants in the United States and Europe. Numerous peer-reviewed publications and presentations at leading scientific conferences have validated the accuracy, usability, and clinical advantages of RenaissanceTM Robotics technology.

Case studies
Case - 1
A 10-year-old from Gujarat was born with congenital anomalies that left her with a severely deformed spine. Before being admitted to Apollo Hospitals, the child had already undergone multiple procedures that had failed and left her with rods placed in her back, broken at multiple places, and a spine that was grossly deformed.

The doctors' team faced several challenges in treating the child. But RenaissanceTM Robotic Technology allowed a successful spinal fixation with extreme precision and safety in carrying out the delicate maneuver to correct the deformed spine. A child otherwise doomed to go through life with the severe deformity - which could have led to premature death due to cardiopulmonary failure or eventual paralysis - can now lead a normal life like any other 10-year-old.
This technology helped us in treating the child, ensuring less pain, smaller incisions, shorter hospitalizations and faster recovery for the child. Conventional forms of such surgeries are more challenging due to the surgeon's lack of direct line-of-vision, requiring many intra-operative X-rays to compensate for this. The Spinal Robot overcomes these challenges, providing patients with the best possible clinical results and with minimal intra-operative radiation to both patients and surgeons.

Case - 2
Two young patients from Oman were admitted with severe back pain, which was also running down both their legs. Both patients had previously taken non-operative treatment in Oman, without any relief whatsoever. One of the patients was a 36-year-old , who had suffered pain for more than two years, which then began affecting his regular activities. Both patients underwent Robot-assisted minimally-invasive spine surgery. After the surgery, both have been free of pain and are now walking normally.