Da vinci series 10 vs 11 vs 35 upgrade#
Da vinci series 10 vs 11 vs 35 full#

The laser crosshairs projected from the overhead boom are aligned with the designated camera port. When the patient cart is driven for docking, the laser guidance is activated to facilitate precise positioning. Port placement for left robotic partial nephrectomy. The autotargeting feature then allows the remaining robotic arms to autorotate on the boom to minimize clashing and optimize performance. After the trocars have been inserted, the camera port is docked first and the camera is focused on the target anatomy. The endoscope has been redesigned to 8вЂ‰mm and can be placed into any working robotic port, allowing for camera port hopping. The robotic arms are thinner and have additional joints (patient clearance joints) that allow rotation away from the patient. Laser crosshairs on the boom facilitate aligning the patient cart with the designated camera port. The patient cart features four robotic arms mounted on movable overhead boom, which allows 342 degrees of rotation and docking from any quadrant. In particular, significant improvements center on the patient cart and docking process.

The Da Vinci Xi Surgical Platform (Figure 1) includes numerous technological enhancements. All patients were given written informed consent prior to surgery. The surgeon evaluated the preoperative CT scan and MRI and graded complexity using the RENAL Nephrometry scoring system. Routine laboratory evaluation, including serum creatinine, was performed in all patients.

Da vinci series 10 vs 11 vs 35 full#

Patients had a full preoperative evaluation prior to surgery. Patients with T2 masses or highly complex renal masses where partial nephrectomy was not deemed feasible were not included in this study. If amenable to partial nephrectomy, patients were offered RPN with the Da Vinci Xi surgical system. Materials and MethodsД«eginning May 2014, patients who were found to have clinical stage 1 renal masses were offered surgery, surveillance, or ablative therapy, in concordance with the AUA 2009 guidelines for the clinical stage 1 renal mass. In this paper we detail our first experiences and lessons learned with the Da Vinci Xi system for RPN.

Da vinci series 10 vs 11 vs 35 upgrade#

Recently, Intuitive Surgical has introduced their latest upgrade to the robot, the Da Vinci Xi (Intuitive Surgical, Sunnyvale, CA).

Since the year 2000, when the Da Vinci robot was first utilized, the robot has undergone several iterations, each with tremendous technological advancement over the prior version. The robotic platform allows better articulation of the wrists and improved vision in 3 dimensions, which has facilitated a shorter learning curve for surgeons adopting minimally invasive surgery. Compared to laparoscopic partial nephrectomy, RPN is technically less difficult and is associated with less chance of conversion to radical nephrectomy, less blood loss, shorter ischemia times, and shorter hospital stay. Since the new millennium, robotic surgery has been increasingly utilized for a variety of procedures including robotic partial nephrectomy (RPN). Combining our surgical technique with the technological advancements on the XI offers patients acceptable pathologic and perioperative outcomes. RPN with the XI system can be safely performed. Two postoperative complications were encountered, including one patient who developed a pseudoaneurysm and one readmitted for presumed urinary tract infection. All patients had negative surgical margins and pathologic T1 disease.

Two patients had oncocytoma and one had benign cystic disease. 12 of 15 patients had renal cell carcinoma. Mean ischemia time was 17.5 minutes and estimated blood loss was 120вЂ‰mLs. Mean console time was 101.3 minutes (range 44вЂ“176 minutes). There were no intraoperative complications and no operative conversions. We used laser targeting, autopositioning, and a novel вЂњin-lineвЂќ port placement to perform RPN. Patients with clinical T1 renal masses were offered RPN with the XI. We describe our operative technique and experience with the XI system for robotic partial nephrectomy (RPN). The Da Vinci Xi (XI) is the latest robotic surgical platform with significant advancements compared to its predecessor. The surgical expertise to perform robotic partial nephrectomy is heavily dependent on technology.