How does da Vinci XI system work?
The da Vinci XI robot is, among da Vinci systems, the most developed da Vinci platform, as the most advanced system for minimally invasive robotic surgery.
The surgical robot da Vinci Xi has three main parts.
It is the control core. Through the console, the surgeon can control the optical fiber and the tools through two manipulatos and pedals.
It is the operative part of the da vinci system and it is formed by four mobile and interchangeable arms, intended to support the optical fiber, and tools of 5mm till 8mm maximum
It has the main unit of imaging elaboration.
Development based on the concept “Immersive Intuitive Interface”, it is the only robotic system that:
Translate in an intuitive way the surgeon’s movements, so there is full control of the optical fiber and tools, avoiding difficult laparoscopic movements;
It provides a three-dimensional real view of the operative domain: the surgeon literally enters in a “immersion” process, without glasses or any other equipment help, with the objective of value the best as possible the anatomic dissection levels and “live” the surgical intervention nearly from the inside of patient’s body.
Moreover, da vinci xi robotic system:
Allows a 3D vision with an increase up to 10 times, guarantying clarity and accuracy of the details considerably superior to the laparoscopic technique
It eliminates hand’s physiologic shaking of the surgeon or not volunteer movements;
- It has four robotic arms, exchangeable, assembled in just one pillar;
It matches with other technology normally present in worldwide OR;
It has a positioning laser system that make possible to optimize the arms positioning depending on the intervention selected and the trocars positioning, to reduce preparation and operation time;
It uses tools with 8 mm diameter till a maximum of 12mm, called Endowrist, because it provides free movement in 7 axes (unlike the 4 grades of the tools of conventional laparoscopy) and a rotation of almost 360º;
It allows a multiquadrant surgery, in other words, to perform more difficult interventions acting on the organs that are settled in different anatomic quadrants, with no need of patient’s forecast or robot positioning changes.
In which specialty is used?
The robotic surgery Da Vinci is used on the next specialties:
Which are the advantages of the robotic surgery da Vinci?
The robotic system da Vinci offers many advantages in open surgery, the most advanced tele-assited laparoscopy, for professionals and patients.
Main clinical advantages:
Radically oncology, in other words, removal.
Easy access to complicated anatomies.
- Excellent visualization of anatomical landmarks.
More detailed visualization of the slit planes.
More detailed on the demolitive procedure.
More reconstruction accuracy.
Possibility of configuration of surgical movement accuracy (possible scales 1,5:1,2:1,3:1).
Physiological shaking elimination.
Less operation time compared to laparoscopy.
Advantages for the patient:
Small incisions with better aesthetic results.
Less transfusion need.
Less postoperative pain.
Hospitalization time reduction, that in lots of cases is reduce even half of it.
More fast recover to normal activities.
What is the dissemination in the world and Spain?
In the late 2016 appear as installed in the world more than 3.800 da vinci systems for robotic surgery.
After US, where there are more than 2.500 da vinci robotic systems, Europe represents the main market, with 644 installed robots. Among the European countries, Spain and Portugal have nowadays 39 amenities; from those, 12 are da vinci xi systems, the last evolution of robotic system.
Since 2010, Spain and Portugal performed more than 15.000 robotic procedures.
Procedures performed with da vinci robot all over the world in 2016 are 750.000 approximately, that is translated in an increase of more than 15% compared with the precedent year. In 2016, Spain and Portugal performed more than 3.000 interventions with da vinci robot, which suppose an increase of 15% compared with 2015.
More than 3.000 patients have been operated with da vinci system, 170 surgeons use it, assisted by 600 professionals among them anaesthetists, instrumentalists and nurses.
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