DR  HAREWOOD
B.Sc.,MB.BS.,F.R.A.C.S
UROLOGIST
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ROBOT
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ASSOCIATE PROFESSOR HAREWOOD

SPECIALISING IN ROBOTIC RADICAL PROSTATECTOMY OR "DA VINCI PROSTATECTOMY"

Robot surgery

OVERVIEW
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The da Vinci ® Surgical System is powered by state-of-the-art robotic technology. The System allows your surgeon’s hand movements to be scaled, filtered and translated into precise movements of micro-instruments within the operative site. The magnified, three-dimensional view the surgeon experiences enables him to perform precise surgery in complex procedures through small surgical incisions.

The da Vinci ® System enhances surgical capabilities by enabling the performance of complex surgeries through tiny surgical openings. The System cannot be programmed nor can it make decisions on its own. The da Vinci ® System requires that every surgical mauveuver be performed with direct input from your surgeon.
The da Vinci® Surgical System has been successfully used in thousands of prostate cancer procedures world-wide.

The Da Vinci TM. Surgical system (Intuitive) Robot is a master slave arrangement. It reproduces in the abdomen the actions of the arm and wrist of the surgeon, while providing a three dimensional, high resolution image of the operative site. Hence it is a natural and intuitive process for the surgeon.

Three laparoscopic ports are introduced for the camera and two working arms. The Da Vinci system is then brought in and the robot docked to these three ports. Three further ports are introduced for a sucker and standard laparoscopic instruments.
The surgeon sits at the console, which is in the operating theatre. An assistant and scrub nurse sit at the operating table. Their task is to change instruments on the robotic arms, suck and irrigate to give a clear view of the field, introduce sutures as required and apply haemostatic clips etc. Figure 1.

The surgeon sits with his or her head in the console to view the three dimensional image. The master controls are held with thumb and forefinger. These control the movement of the instruments inside the abdomen. The position is ergonomic and relaxed, providing reduced surgeon fatigue.

For additional information on the da Vinci® Surgical System visit www.davinciprostatectomy.com