Robotic breast surgery is revolutionary as the technology allows the surgeon to overcome technical limitations associated with traditional open surgery. For example, the robot provides three-dimensional multi-level magnification, which facilitates excellent depth perception and vision of the surgical site. The core technology provides surgeons with natural extensions of their hands and eyes into the patient. The sensitive mechanical fibers of the surgical arms allow the surgeon to make highly precise movements inside the incision site during surgery. It also provides a range of motion greater than that of a human wrist, allowing access to cavities and areas that are difficult to reach in traditional procedures.

Computer 3D Visualization

The robot allows the surgeon to visualize the anatomy in crystal clear, 3D, high definition magnification. The optics at the tip of the scope provides clear definition and natural color of anatomical structures. As a result, the surgeon is able to accurately see the breast anatomy with pronounced clarity. The camera attached to the robotic instruments also allows the surgeon to easily zoom, rotate, and change the imaging visualization, giving visual access to all areas of the breast, including those that may be difficult to reach with the traditional open approach.

Instrumentation

The da Vinci surgical system offers Endowrist instruments that provide surgeons with greater dexterity while operating. This innovative feature gives surgeons greater range of motion than the human, allowing access to difficult to reach surgical sites. Hand motions are microscaled and tremor reduced for better coordination and precision. Traditional endoscopic instruments do not have advanced technology to replicate precise hand movements for effective nipple-sparing mastectomy surgery. This user-friendly feature gives surgeons better control throughout the surgery, which is a huge advantage compared to traditional techniques.

Surgeon Console

During robotic nipple sparing mastectomy, the surgeon sits at a remote console away from the patient table. The console has controls that allow the surgeon to manipulate the robotic arms and view the operation. The finely controlled robotic instruments facilitate surgery with more precision, control, visualization, and dexterity with the use of high-resolution cameras and micro-surgical instruments. The robotic technology filters and translates the hand coordination so all movements are scaled down to the instruments for less traumatic and minimally invasive surgery.

Patient Side Cart

The patient side cart is placed next to the operating table during a robotic nipple sparing mastectomy. The da Vinci robotic arms attached to the patient side cart are positioned for access into the breast pocket. The surgical system will translate the surgeon’s movements to mimic the left and right hands. If a surgeon needs to have an instrument changed, a nurse positioned near the cart will physically exchange instruments found in the console.

© Neil Tanna MD. All rights reserved.

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