da Vinci Surgery
If you have been diagnosed a colorectal condition, including: colon cancer, rectal cancer, diverticulitis, and inflammatory bowel disease (ulcerative colitis and Crohn’s disease), your doctor may recommend surgery. Surgery to remove all or part of the colon is known as a colectomy. Rectal cancer surgery is known as a low anterior resection.
If you are facing colorectal surgery, ask your doctor about minimally invasive da Vinci Surgery.
Why da Vinci Surgery?
Instead of a large abdominal incision used in open surgery, da Vinci surgeons make a few small incisions - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control.
da Vinci Colectomy – As a result of da Vinci technology, da Vinci Colectomy offers the following potential benefits:
- Precise removal of cancerous tissue1
- Low blood loss1,2
- Quick return of bowel function2,3
- Quick return to a normal diet2,3
- Low rate of complications1,2,3
- Low conversion rate to open surgery2,3
- Short hospital stay1,2,3
- Better cosmetic result compared to open surgery
da Vinci Low Anterior Resection – As a result of da Vinci technology, da Vinci Low Anterior Resection offers precise removal of cancerous tissue as well as the following potential benefits when compared to open surgery:
- Less blood loss5
- Less pain6
- Shorter hospital stay6
- Quicker return of bowel function6
- Quicker return to a normal diet6
- Faster recovery6
- Better cosmetic result
When compared to traditional laparoscopy, da Vinci Low Anterior Resection offers the following potential benefits:
- Lower conversion rate to open surgery7
- Fewer major complications7
- Shorter hospital stay7
- Quicker return to a normal diet7
- Quicker return of urinary function8
- Quicker return of sexual function8
State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.
Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.
Risks & Considerations of da Vinci Colectomy & Low Anterior Resection:
Potential risks of any colectomy or low anterior resection procedure include:1,6
- Anastomotic leak (intestinal fluid leak)
- Ileus (bowel blockage)
- Pulmonary embolism (blocked lung artery)
- Urinary problems
To find a da Vinci Surgeon nearest you, go to our Surgeon Locator.
- Patel CB, Ragupathi M, Ramos-Valadez DI, Haas EM. A three-arm (laparoscopic, hand-assisted, and robotic) matched-case analysis of intraoperative and postoperative outcomes in minimally invasive colorectal surgery. Dis Colon Rectum. 2011 Feb;54(2):144-50.
- D'Annibale A, Morpurgo E, Fiscon V, Trevisan P, Sovernigo G, Orsini C, Guidolin D. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum. 2004 Dec;47(12):2162-8.
- Spinoglio G, Summa M, Priora F, Quarati R, Testa S. Robotic colorectal surgery: first 50 cases experience. Dis Colon Rectum. 2008 Nov;51(11):1627-32. Epub 2008 May 17.
- Hellan M, Anderson C, Ellenhorn JD, Paz B, Pigazzi A. Short-term outcomes after robotic-assisted total mesorectal excision for rectal cancer. Ann Surg Oncol. 2007 Nov;14(11):3168-73. Epub 2007 Sep 1.
- deSouza AL, Prasad LM, Ricci J, Park JJ, Marecik SJ, Zimmern A, Blumetti J, Abcarian H. A comparison of open and robotic total mesorectal excision for rectal adenocarcinoma. Dis Colon Rectum. 2011 Mar;54(3):275-82.
- Park JS, Choi GS, Lim KH, Jang YS, Jun SH. S052: a comparison of robot-assisted, laparoscopic, and open surgery in the treatment of rectal cancer. Surg Endosc. 2011 Jan;25(1):240-8. Epub 2010 Jun 15.
- Baik SH, Kwon HY, Kim JS, Hur H, Sohn SK, Cho CH, Kim H. Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study. Ann Surg Oncol. 2009 Jun;16(6):1480-7. Epub 2009 Mar 17.
- Kim JY, Kim NK, Lee KY, Hur H, Min BS, Kim JH. A comparative study of voiding and sexual function after total mesorectal excision with autonomic nerve preservation for rectal cancer: laparoscopic versus robotic surgery. Ann Surg Oncol. 2012 Aug;19(8):2485-93. Epub 2012 Mar 21.
All surgery presents risk, including da Vinci® Surgery and other minimally invasive procedures. Serious complications may occur in any surgery, up to and including death. Examples of serious or life-threatening complications which may require hospitalization include injury to tissues or organs, bleeding, infection or internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Risks of surgery also include potential for equipment failure and human error. Risks specific to minimally invasive surgery may include: A long operation and time under anesthesia, conversion to another technique or the need for additional or larger incisions. If your surgeon needs to convert the procedure, it could mean a long operative time with additional time under anesthesia and increased complications. Temporary pain or discomfort may result from pneumoperitoneum, the presence of air or gas in the abdominal cavity used by surgeons in minimally invasive surgery. Research suggests that there could be an increased risk of incision-site hernia with single-incision surgery. Results, including cosmetic results, may vary. Patients who bleed easily, who have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci® Surgery. For more complete information on surgical risks, safety, and indications for use, please refer to http://www.davincisurgery.com/safety/. Patients should talk to their doctors about their surgical experience and to decide if da Vinci Surgery is right for them. Other options may be available. Intuitive Surgical reviews clinical literature from the highest level of evidence available to provide benefit and risk information about use of the da Vinci Surgical System in specific representative procedures. We encourage patients and physicians to review all available information on surgical options and treatment in order to make an informed decision. Clinical studies are available through the National Library of Medicine at www.ncbi.nlm.nih.gov/pubmed.
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