Robotic surgery

learn more about robotic surgery

Robotic Surgery overcomes the limitations of conventional laparoscopic surgery and is more comfortable and precise, above all the most complicated and inaccessible surgical operations.

This new surgical system, called Da Vinci®, is a computer assisted robotic system that increases the surgeon's capacity for operating in a less invasive manner. It also reduces the hospital stay by 40% post operation.

Robotic surgery is performed with specially designed instruments that are smaller in size and are more precise in their handling. This advanced equipment allows for perfect visualization and gives the surgeon greater precision when operating.

Radical prostatectomy (aiming at removing prostate tumours) is the most frequently carried out operation by this system, although the Clínica Universidad de Navarra is also pioneering in operations on diseases related to OSA, thyroid disorders and larynx cancer.

Imagen preview del infográfico sobre cirugía robótica
Know all about robotic surgery. [Infography only available in Spanish]
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El paciente, de origen brasileño, presentaba hipertrofia de la amígdala lingual y de la base de la lengua. El volumen excesivo de la amígdala lingual le provocaba una obstrucción parcial de  la vía aérea y, como consecuencia, una apnea obstructiva del sueño. Este novedoso sistema quirúrgico, denominado Da Vinci®, es un sistema  robótico asistido informáticamente que amplía la capacidad del cirujano  para operar de manera menos invasiva. Consigue reducir en un 40% la  estancia hospitalaria tras la intervención quirúrgica dado que los pacientes se recuperan mucho mejor de la intervención.
Robotic surgery in OSA. [Video only available in Spanish]
Transaxillary robotic technique on tyroid disorders. [Video only available in Spanish]

It offers greater precision and vision, less invasive procedures and suppresses the natural tremor of the surgeon's hands.

It consists in three principal elements:

  1. Patient trolley – the four arms that support the instruments that operate on the patient. One of the arms is responsible for holding the camera that transmits images of the internal anatomical region that will be operated on to the surgeon's control console. The nursing staff work in the sterile zone close to the patient's trolley and the operating table, changing instruments and endoscopes according to the requirements of the surgeon.
  2. Surgeon's console – the control centre of the equipment is situated outside the sterile area, a few metres from the operating table. From here, the surgeon uses the two controls to move the instruments and an endoscope which gives 3D images. The console also has pedals so that the surgeon can control part of the equipment with his feet. It's design imitates the natural alignment of the eye, hand and instruments of open surgeon, optimizing hand and foot coordination. The 3D viewpoint with its depth of field vision is up to twelve times superior to laparoscopy and allows the surgeon to have more precision in his movements while at the same time offering him the same ability to move as in open surgery.
  3. Vision Trolley - Integrated in the equipment is a touch screen on which the team projects all the images processed by someone outside the sterile surgery area.

New technology is used in diverse specialities

Robotic surgery Da Vinci® is used in multidisciplinary in diverse conditions.

In Urology: Radical prostectomy, partial nephrectomy, ureteral reimplantation and pyeloplasty.

In Otorhinolaryngology: obstructive sleep apnoea syndrome surgery, thyroidectomy and parathyroidectomy through the armpit and tumour removal.

In Gynaecology: hysterectomy, tubal reconstructions, myomectomy and uterus tumours.

In General Surgery: colon and rectal surgery, gastric bypass surgery, hepatobilio-pancreatic and surgeries in the lower third of the oesophagus.

Cardiothoracic surgery: coronary aorto bypass operations, mitral valve repair, atrial septal defect, tricuspid valve repair and mediastinum and lung surgery.

With the Da Vinci robot, surgeons have a better viewpoint of the operating area and excellent handling of the various instruments. With this technique, the scar is smaller and the risk of bleeding is lower".

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