Robotic surgery

Robotic surgery replaces the limitations of conventional laparoscopic surgery by making surgical interventions more comfortable and precise, especially for the most complex and difficult to access procedures, such as radical prostatectomy.

The Da Vinci® Surgical System is a computer-assisted robotic system that extends the surgeon's ability to operate in a less invasive manner.
 
It provides greater surgical precision, a less invasive procedure, elimination of the surgeon's natural hand tremor, and better visualization of the anatomical field being operated on.
 
The instruments are designed in such a way as to obtain 7 degrees of freedom of movement, practically similar to the mobility of the surgeon's hand, unlike conventional laparoscopic surgery, which allows only 4 degrees.
 
Blood loss during the operation, and therefore the need for transfusions, is 25% below the requirements of open surgery, a percentage similar to that of the laparoscopic procedure.

The prostate operation with the Da Vinci® robot 

consists of a radical prostatectomy (aimed at removing prostate tumors), which is the most frequent surgical intervention performed with this system. But it is also used in partial nephrectomy, ureteral reimplantation, pyeloplasty.

The advantages over conventional techniques lie in the recovery of mictional control within the first three months, faster than with laparoscopic or open surgery, due to the greater precision in dissecting the tissues.

Another of the most frequent complications in prostatectomy patients is sexual impotence. When a technique is used to preserve the erector nerves, and this is achieved in more patients with robotic surgery, it favors more effective conservation of sexual potency and greater integrity of the sphincter of the urethra, thanks to a much finer and anatomical dissection.

The hospital admission required after a robotic radical prostatectomy operation is also similar to that of laparoscopy, located between 2 and 3 days, as opposed to 5 days for conventional surgery. The operation time with the Da Vinci® System is extended by 4 or 5 hours, and in all cases general anesthesia is applied.

We are pioneers in surgery for thyroid pathology, OSAS and larynx cancer with the Da Vinci® robot.

Transoral robotic surgery is performed with specially designed instruments that are small in size and highly precise in their handling. It allows working with a perfect visualization and millimetric accuracy.
 
It is used to remove tumors of the tonsil, base of the tongue, hypopharynx and larynx, as an alternative to laser surgery or open surgical procedures such as thyroid pathology.

Thanks to Da Vinci® robot technology, the removal of these tumors is performed more extensively and often in one piece, as opposed to the resection of the tumor in fragments performed with other surgical methods.

This surgery offers the patient a new surgical treatment alternative, with rapid healing and functional recovery, along with good treatment results.

La Clínica is the first Spanish hospital center that has operated on thyroid pathology using this robotic technique. The main benefit is aesthetic, since it avoids the cervical scar of conventional thyroid surgery by making a single incision in the axilla.

The transaxillary robotic technique is indicated for the removal of nodular goiter, follicular thyroid carcinomas no larger than 2 cm without extracapsular extension and parathyroid adenomas (hyperparathyroidism).

In a pioneering way in Spain, the Clinic is expert in the surgical treatment of other pathologies with robotic surgery: obstructive sleep apnea syndrome, partially removing the lingual tonsil through the oral cavity (transoral), and larynx cancer with transoral approach. 

In Gynecology, the technique is applied in hysterectomy, tubal reconstructions, myomectomies and uterine tumors.

In different pathologies of General Surgery, the Da Vinci® robot is used in colon and rectum surgery, bariatric surgery, hepato-bilio-pancreatic and surgeries of the lower third of the esophagus.

As for cardiothoracic surgery, robotic surgery is applied to aorto-coronary bypass operations, mitral repair, interauricular communication, tricuspid valve repair and mediastinum and lung surgeries.

It is also applied to some pediatric surgery and neurosurgery interventions.