General Surgery

The Da Vinci Xi Robotic Surgical System

admin Apr 30, 2024

This system features multiple arms that are capable of performing maneuvers and rotations beyond the natural ability of the human hand, all controlled by the surgeon sitting just feet away.

This revolutionary device allows physicians to perform surgeries like never before, with magnified 3D images in real-time, and less painful healing for patients.

The da Vinci Xi is versatile and flexible, with setup automation and guidance that promotes OR efficiency. It provides multiquadrant access and is used for a variety of complex procedures of Urology, Cardiac surgery, Gastro- intestinal sur General Surgery, Women’s Health (Gynaecology and Uro- Gynaecology)

The da Vinci surgical systems are designed to help surgeons perform minimally invasive surgery. Da Vinci systems offer surgeons high-definition 3D vision, a magnified view, and robotic and computer assistance. They use specialized instrumentation, including a miniaturized surgical camera and wristed instruments (i.e., scissors, scalpels and forceps) that are designed to help with precise dissection and reconstruction deep inside the body.

Da Vinci Xi at Fortis Hospitals Bannerghatta Bangalore:

2017 Fortis Hospital in Bannerghatta Road, region’s leading healthcare solution provider, has acquired Da Vinci Xi system, the most advanced Robotic Surgery technology in the world, here today. It has been used by experts from Urology, Onco-surgery and Minimum Access Surgery.

The new Da Vinci Xi System acts as an extension of the doctor’s hands, allowing him or her to perform a surgery with pinpoint accuracy and very little damage to surrounding tissues.

The benefits of robotic surgery include a minimally invasive approach, faster return to daily activities, fewer complications, and shorter hospital stay with reduced hospitalization costs.

In year 2018 The robotic surgical system being used for procedures like,

Urinary Blockage (Urinary Tract Obstruction)
Kidney Disorder or Cancer,
Bladder Cancer
Prostate Cancer

The advantages of the robot surgery over conventional ones are reaching difficult areas of the human anatomy, because of the flexibility and the rotational ability of the robotic “Endoarm”. It also provides greater clarity and vivid 3D vision of the anatomy during the surgery which results in significantly less blood loss and more precise surgery. Besides the surgeon can sit at a console at ease conducting the surgery. So, it’s a win-win situation both for the doctor and the patient”.The da Vinci X System enables optimized, focused-quadrant surgery including procedures like prostatectomy, partial nephrectomy, benign hysterectomy and sacrocolpopexy, among others. The advantages of robotic surgery include patient comfort, smaller incisions, less pain, less risk for infection, surgical accuracy, better accessibility and faster recovery.

Fortis Hospital in Bengaluru said it has successfully completed 500 robotic-aided urology procedures. The urology team at Fortis Hospitals, Bengaluru led by Dr. Mohan Keshavamurthy completed 500 robotic surgeries in 53 months of the installation of Da Vinci surgical system at Fortis Bannerghatta. The 500 robot-aided surgeries include complex robotic procedures encompassing the entire gamut of Uro-Oncology, Uro-Gynaecology, Reconstructive Urology and Kidney Transplant

Our urology team at Fortis Bannerghatta road has successfully carried out 500 robotic urology procedures since its introduction in the year 2017. This milestone has been achieved in just 53 months, despite 2 years of Covid disruption.

In the year 2023 Fortis Hospitals Bannerghatta Road performed around 1080 Robotic Surgeries. 748 Surgeries using Mako Robot and 332 Surgeries using DaVinci.

Mako SmartRobotics robotic-arm assisted surgery. This method is a revolution in joint replacement surgery for precision, recovery and outcomes.

What is Mako robotic-arm assisted surgery?

Mako SmartRobotics is a robotic-arm assisted surgery machine that combines three principal elements to perfect the process of total knee, total hip, and partial knee replacements and harbor better outcomes for patients. The three elements used in Mako SmartRobotics robotic-arm assisted surgery are 3D CT-based planning, AccuStop haptic technology, and insightful data analytics.

How does Mako SmartRobotics robotic-arm assisted surgery generally work?

The machine begins with a CT scan that creates a 3D model of the patient’s affected extremity (body). This high-quality and detailed information helps provide data to the orthopedic surgeon for decision-making and precision. The AccuStop haptic technology is used to get more clean and precise cuts. Using Mako overall gives the surgeon more detailed analytics and insightful objective feedback (information) during the joint replacement operation. Once the cut is made and the diseased (affected) bone or cartilage is removed (gone), the implant is inserted into the joint space and movement is tested. All surgeries are based on the patient’s unique anatomy and deeply detailed data to create the best plan possible.

What is the 3D model used for?

After it is created from the CT Scan, the 3D model is loaded into the Mako system software and used to create the patient’s personalized pre-operative plan. The surgeon then has an opportunity to look over the plan and modify it, making sure that the pre-operative plan is perfect for the patient and their unique anatomy.

During surgery, the surgeon registers the real anatomy and pairs it with the 3D model to ensure the procedure is executed correctly. The patient’s range of motion and differences between the 3D model and real anatomy are taken into account before surgery is completed.

Women opting for Robotic Surgeries:

Statistical analysis shows that only 29.1% of cases underwent gynecological robotic surgery over the initial five years, compared to 70.9% of patients who underwent gynecological robotic surgery over the last five years of the current study, demonstrating the rapid acceptability of robots for gynecological procedures. Although robotic surgery was initially used for malignant conditions, there was increased adaptability for benign diseases after 2017

Breakthrough Cases Performed at Fortis Hospitals Bannerghatta Road

Sep 2023

One-year-old Omani child undergoes Robot-Assisted Surgery for renal blockage in Bengaluru

OCT 2023

7-year-old Undergoes Robotic Total Thyroidectomy For Thyroid Cancer At Fortis Hospital

May 2023

First robotic vaginal reconstruction surgery successful

June 2023

Bengaluru: 13-month-old deceased baby's kidneys transplanted to adult

In robotic surgeries, the surgeon sits in a console in the operating room, and uses hand movements to guide the robot to do the surgery. The robot offers vision several times magnified than human vision, has multiple arms with full rotation, and make tiny incisions.